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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1983 Sep;65(5):293–296.

Epiglottopexy: a new surgical technique to prevent intractable aspiration.

G B Brookes, P McKelvie
PMCID: PMC2494386  PMID: 6614762

Abstract

Severe derangement of the protective function of the larynx results in intractable aspiration with secondary life-threatening pneumonia. The new surgical technique of epiglottopexy is described, which in addition to achieving protection of the laryngeal inlet, allows preservation of speech and in certain cases an adequate laryngeal airway. The advantages over current alternative treatment methods is discussed, and the results of five cases of gross laryngeal incompetence managed by epiglottopexy are presented.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baron B. C., Dedo H. H. Separation of the larynx and trachea for intractable aspiration. Laryngoscope. 1980 Dec;90(12):1927–1932. doi: 10.1288/00005537-198012000-00002. [DOI] [PubMed] [Google Scholar]
  2. Bartlett J. G., Gorbach S. L. The triple threat of aspiration pneumonia. Chest. 1975 Oct;68(4):560–566. doi: 10.1378/chest.68.4.560. [DOI] [PubMed] [Google Scholar]
  3. Cameron J. L., Anderson R. P., Zuidema G. D. Aspiration pneumonia. A clinical and experimental review. J Surg Res. 1967 Jan;7(1):44–53. doi: 10.1016/0022-4804(67)90009-1. [DOI] [PubMed] [Google Scholar]
  4. Dines D. E., Titus J. L., Sessler A. D. Aspiration pneumonitis. Mayo Clin Proc. 1970 May;45(5):347–360. [PubMed] [Google Scholar]
  5. Habal M. B., Murray J. E. Surgical treatment of life-endangering chronic aspiration pneumonia. Use of an epiglottic flap to the arytenoids. Plast Reconstr Surg. 1972 Mar;49(3):305–311. doi: 10.1097/00006534-197203000-00011. [DOI] [PubMed] [Google Scholar]
  6. Lindeman R. C. Diverting the paralyzed larynx: a reversible procedure for intractable aspiration. Laryngoscope. 1975 Jan;85(1):157–180. doi: 10.1288/00005537-197501000-00012. [DOI] [PubMed] [Google Scholar]
  7. Montgomery W. W. Surgery to prevent aspiration. Arch Otolaryngol. 1975 Nov;101(11):679–682. doi: 10.1001/archotol.1975.00780400037010. [DOI] [PubMed] [Google Scholar]
  8. STUART W. D. THE OTOLARYNGOLOGIC ASPECTS OF MYASTHENIA GRAVIS. Laryngoscope. 1965 Jan;75:112–121. doi: 10.1288/00005537-196501000-00013. [DOI] [PubMed] [Google Scholar]
  9. SVIEN H. J., BAKER H. L., RIVERS M. H. JUGULAR FORAMEN SYNDROME AND ALLIED SYNDROMES. Neurology. 1963 Sep;13:797–809. doi: 10.1212/wnl.13.9.797. [DOI] [PubMed] [Google Scholar]
  10. Sasaki C. T., Milmoe G., Yanagisawa E., Berry K., Kirchner J. A. Surgical closure of the larynx for intractable aspiration. Arch Otolaryngol. 1980 Jul;106(7):422–423. doi: 10.1001/archotol.1980.00790310046011. [DOI] [PubMed] [Google Scholar]
  11. Vecchione T. R., Habal M. B., Murray J. E. Further experiences with the arytenoid-epiglottic flap for chronic aspiration pneumonia. Plast Reconstr Surg. 1975 Mar;55(3):318–323. [PubMed] [Google Scholar]
  12. Yarington C. T., Sutton D. Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Ann Otol Rhinol Laryngol. 1976 Sep-Oct;85(5 PT1):609–612. doi: 10.1177/000348947608500507. [DOI] [PubMed] [Google Scholar]

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