Skip to main content
SpringerLink
Log in

Surgery for Aspiration: Analysis of Laryngotracheal Separation in 23 Children

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

The aim of this study was to analyze the efficacy of laryngotracheal separation (LTS) in eliminating aspiration in children by comparing pre- and postoperative conditions. This prospective study used an internal control group. Children with neurologic impairment and a diagnosis of chronic aspiration were subjected to LTS at the Associação de Assistência à Criança Deficiente (AACD). Twenty-three children had undergone LTS with the modified Lindeman technique. All of them gained complete control of aspiration. Frequency of hospitalization, number of respiratory infections, and level of secretion were statistically reduced. After surgery only 21.7% of the children were capable of oral intake exclusively. LTS is an effective and safe technique that can be used in children resulting in aspiration control in 100% of the patients and without repercussions in the respiratory secretion and pulmonary infections.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.

Similar content being viewed by others

References

  1. Blitzer A: Approaches to the patient with aspiration and swallowing disabilities. Dysphagia 5:129–137, 1990

    Article  PubMed  CAS  Google Scholar 

  2. Eisele DW: Surgical approaches to aspiration. Dysphagia 6:71–78, 1991

    Article  PubMed  CAS  Google Scholar 

  3. Cohen SR, Thompson JW: Variants of Möbius Syndrome and central neurologic impairments: Lindeman procedure in children. Ann Otol Rhinol Laryngol 96:93–100, 1987

    PubMed  CAS  Google Scholar 

  4. De Vito MA, Wetmore RF, Pransky SM: Laryngeal diversion in the treatment of chronic aspiration in children. Int J Pediatr Otorhinolaryngol 18:139–145, 1989

    Article  PubMed  Google Scholar 

  5. Lawless ST, Cook S, Luft J, Jasani M, Kettrick R: The use of a laryngotracheal separation procedure in pediatric patients. Laryngoscope 105:198–202, 1995

    Article  PubMed  CAS  Google Scholar 

  6. Cook SP, Lawless S, Kettrick R: Patient selection for primary laryngotracheal separation as treatment of chronic aspiration in impaired child. Int J Pediatr Otorhinolaryngol 38:103–113, 1996

    Article  PubMed  CAS  Google Scholar 

  7. Lindeman RC: Diverting the paralysed larynx: a reversible procedure for intractable aspiration. Laryngoscope 85:157–180, 1975

    Article  PubMed  CAS  Google Scholar 

  8. Lindeman RC, Yarington CT, Sutton D: Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Ann Otol Rhinol Laryngol 85:609–612, 1976

    Google Scholar 

  9. McIntosh K: Community-acquired pneumonia in children. N Engl J Med 346:429–437, 2002

    Article  PubMed  Google Scholar 

  10. Eibling D, Snyderman CH, Eibling C: Laryngotracheal separation for intractable aspiration: a retrospective review of 34 patients. Laryngoscope 105:83–85, 1995

    Article  PubMed  CAS  Google Scholar 

  11. Snyderman CH, Johnson JT: Laryngotracheal separation for intractable aspiration. Ann Otol Rhinol Laryngol 97:466–470, 1988

    PubMed  CAS  Google Scholar 

  12. Samson-Fang LJ, Stenvenson RD: Identification of malnutrition in children with cerebral palsy: poor performance of weight-for-height centiles. Dev Med Child Neurol 42:162–168, 2000

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil

    Dayse Manrique MD, PhD & Osiris de Oliveira Camponês do Brasil MD, PhD

  2. Department of Neurosurgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil

    Flavio Aurelio Parenti Settanni MD, PhD

  3. Head of Otorhinolaryngology of Associação de Assistência à Criança Deficiente, Universidade Federal de São Paulo (UNIFESP), Rua Canário, 1112-61, São Paulo, SP, Brazil

    Dayse Manrique MD, PhD

Authors
  1. Dayse Manrique MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Flavio Aurelio Parenti Settanni MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Osiris de Oliveira Camponês do Brasil MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dayse Manrique MD, PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Manrique, D., Settanni, F.A.P. & Camponês do Brasil, O.d.O. Surgery for Aspiration: Analysis of Laryngotracheal Separation in 23 Children. Dysphagia 21, 254–258 (2006). https://doi.org/10.1007/s00455-006-9048-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-006-9048-1

Keywords

Search

Navigation