The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Surgical closure of the larynx for the treatment of intractable aspiration: Surgical technique and clinical results†
Article first published online: 7 MAY 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 6, pages 1273–1278, June 2012
How to Cite
Takano, S., Goto, T., Kabeya, M. and Tayama, N. (2012), Surgical closure of the larynx for the treatment of intractable aspiration: Surgical technique and clinical results. The Laryngoscope, 122: 1273–1278. doi: 10.1002/lary.23306
- Issue published online: 1 JUN 2012
- Article first published online: 7 MAY 2012
- Accepted manuscript online: 22 MAR 2012 10:18AM EST
- Manuscript Accepted: 21 FEB 2012
- Manuscript Revised: 9 FEB 2012
- Manuscript Received: 19 DEC 2011
- surgical procedure;
- laryngeal closure;
- clinical statistics;
- Level of Evidence: 4
Surgical closure of the larynx (SCL) is a method to prevent aspiration that sacrifices vocal function. The aim of this report was to introduce our new surgical method and perform clinical analysis of these cases.
We performed 32 cases of surgical closure using our original method in two institutions from 2003 to 2011. We analyzed leakage and other complications and pre- and postoperative routes of nutrition.
The main feature of our method is reduction of the entire structure of the larynx. To reduce the laryngeal space, we excised both edges of the cut thyroid cartilage. Sutures were made collectively in upper flaps (false folds) and lower flaps (vocal folds), with no need for insertion of a hinged muscle flap. No clinical leakage was encountered in any cases, and aspiration pneumonia was completely prevented postoperatively. Most patients (56%) became able to ingest orally alone or in combination with tube feeding.
Prevention of aspiration pneumonia is very important in medical management, and we believe that our method offers a good means by which to achieve this goal. Laryngoscope, 2012