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Chirurgie de la déglutition dans le traitement d'aspirations récidivantes

Von Wihl, S
Bouayed, S
Published in Revue médicale suisse. 2012, vol. 8, no. 356, p. 1854-8
Abstract Severe dysphagia resulting in repeated aspirations and pneumonia are difficult to treat with swallowing therapy and surgical treatment is often required. Our study retrospectively reviews our experience with 19 such cases operated by laryngeal suspension and laryngotracheal separation. Restoration of oral nutrition was possible in 45% of laryngeal suspension cases and in 75% of laryngotracheal separation operations. These surgical techniques prevent severe aspirations while conserving phonation, contrarily to total laryngectomy. Tracheocutaneous fistulas were frequent, especially after radiation, implying that the surgical technique should be modified in the future.
Keywords AgedDeglutition Disorders/epidemiology/rehabilitation/surgeryFemaleHumansMaleMiddle AgedModels, BiologicalNutrition Therapy/methodsOtorhinolaryngologic Surgical Procedures/adverse effects/methods/rehabilitationPostoperative Complications/epidemiology/prevention & controlRespiratory Aspiration/epidemiology/rehabilitation/surgeryRetrospective StudiesSeverity of Illness Index
PMID: 23133886
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Research group Groupe Dulguerov Pavel (ORL et chirurgie cervico-faciale) (145)
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VON WIHL, S et al. Chirurgie de la déglutition dans le traitement d'aspirations récidivantes. In: Revue médicale suisse, 2012, vol. 8, n° 356, p. 1854-8. https://archive-ouverte.unige.ch/unige:31244

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Deposited on : 2013-11-21

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