Clinical outcomes of tracheoesophageal diversion for intractable aspiration

K. Adachi, T. Umezaki, H. Kiyohara, H. Miyaji, S. Komune

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: The purpose of the present study was to examine the clinical outcomes of using tracheoesophageal diversion for preventing intractable aspiration. Method: We retrospectively reviewed 25 patients who underwent tracheoesophageal diversion from 2003 to 2009 at our hospital (median age, 25 years; range, 0-78 years). End-to-side anastomosis was used in 16 cases and side-to-side anastomosis was used in 9. Results: The average operative time was 141 minutes for end-to-side anastomosis and 191 minutes for side-to-side anastomosis. Peri-operative complications were observed in only two (8 per cent) cases: one with infection and one with haematoma. No fistulas were observed. Aspiration was prevented in all cases, but the nutritional route depended on the swallowing function of the patient. Oral feeding was the main nutritional route after surgery in only four patients (16 per cent). Conclusion: This procedure is well suited to patients who lack speech communication and are at high risk of aspiration.

Original languageEnglish
Pages (from-to)S69-S73
JournalJournal of Laryngology and Otology
Volume129
Issue numberS2
DOIs
Publication statusPublished - 2015

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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