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ID 106052
Title Alternative
重症心身障害児に対する喉頭気管分離・気管食道吻合術と喉頭気管分離術の臨床的効果
Author
Chida, Izumi University of Tokushima|Kagawa Children’s Hospital KAKEN Search Researchers
Tamura, Koichi University of Tokushima KAKEN Search Researchers
Nakagawa, Shin-ichi University of Tokushima|Kagawa Children’s Hospital
Ando, Masahiro University of Tokushima|Kagawa Children’s Hospital
Kuno, Emi Kagawa University
Hoshikawa, Hiroshi Kagawa University
Mori, Nozomu Kagawa University
Keywords
Tracheoesophageal diversion
Laryngotracheal separation
Trumpet-shaped tracheotomy
Intractable aspiration
Neurologically impaired children
Content Type
Thesis or Dissertation
Description
Objective: Outcomes of tracheoesophageal diversion and laryngotracheal separation were evaluated in 15 neurologically impaired children treated for intractable aspiration.
Methods: A retrospective analysis of the hospital records was carried out in 15 consecutive pediatric patients who underwent either tracheoesophageal diversion or laryngotracheal separation with trumpet-shaped tracheotomy from 1999 to 2006 in Kagawa Children’s Hospital.
Results: The number of hospital admissions for aspiration pneumonia after surgery was significantly decreased in 6 patients who were cared for at home. The parent-reported number of secretion suctioning was decreased after surgery especially in patients with pre-operative tracheotomy or intubation. Four patients fed through naso-gastric tube progressed with oral diet post-operatively, whereas 3 patients who had pre-operative tracheotomy developed temporary post-operative tracheocutaneous fistula that was managed by local wound care.
Conclusion: It is suggested that tracheoesophageal diversion and laryngotracheal separation decrease the morbidity of pediatric patients and improve their quality of life and that of their parents. It is suggested that the risk of developing post-operative fistula is higher in pediatric patients with than without pre-operative tracheotomy.
Journal Title
Auris Nasus Larynx
ISSN
03858146
NCID
AA00061157
AA11522116
Publisher
Elsevier
Volume
45
Issue
4
Start Page
728
End Page
731
Published Date
2012-12-20
Remark
内容要旨・審査要旨・論文本文の公開
内容要旨・審査要旨 : LID201403051002.pdf
論文本文 : k2657_fulltext.pdf
本論文は,著者Izumi Chidaの学位論文として提出され,学位審査・授与の対象となっている。
著者の申請により要約(2014-05-23公開)に替えて論文全文を公開(2019-12-17)
Rights
© 2012 Elsevier Ireland Ltd. All rights reserved.
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第2657号
Diploma Number
甲医第1183号
Granted Date
2013-12-26
Degree Name
Doctor of Medical Science
Grantor
Tokushima University
departments
Medical Sciences
University Hospital