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
Takeda, Noriaki University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Neurologically impaired children
Thesis or Dissertation
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.
Auris Nasus Larynx
内容要旨・審査要旨 : LID201403051002.pdf
論文本文 : k2657_fulltext.pdf
© 2012 Elsevier Ireland Ltd. All rights reserved.
|DOI (Published Version)|
|URL ( Publisher's Version )|
LID201403051002.pdf 186 KB
k2657_fulltext.pdf 819 KB
|MEXT report number||
Doctor of Medical Science