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KMID : 1024320220120020148
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Journal of the Korean Dysphagia Society
2022 Volume.12 No. 2 p.148 ~ p.153
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Laryngotracheal Separation for Intractable Aspiration in Severe Brain Damage
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Oh Gyu-Seok
Yoo Je-Hyun
Lim Oh-Kyung
Park Ki-Deok
Woo Joo-Hyun
Lee Ju-Kang
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Abstract
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Laryngotracheal separation (LTS) is one of the treatment options for intractable aspiration. Here, we present two cases of LTS with successful prevention of intractable aspiration.
The first case was a 60-year-old man with severe hypoxic brain damage caused by hydrogen sulfide (H2S) intoxication; he was admitted to our department for comprehensive rehabilitation. Frequent tracheal suction was required due to the excess secretion from saliva aspiration. Matters were complicated when he suffered frequent regurgitation and vomiting, which was followed by tracheal aspiration. In the second case, a 78-year-old man presented with a severe traumatic brain injury. He had experienced recurrent aspiration pneumonia, which was unresponsive to conventional therapy. In both cases, LTS was performed to prevent intractable aspiration pneumonia.
Subsequent to the LTS procedure, videofluoroscopic swallowing study showed complete prevention of the aspiration in both patients. Moreover, tracheal secretion was reduced, and tracheal suction was no longer required. Post-surgery, there was no development of aspiration pneumonia during their hospital stays.
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KEYWORD
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Laryngotracheal separation, Intractable aspiration
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