A new epiglottoplasty procedure for the treatment of intractable aspiration

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
M RemacleG Lawson

Abstract

Intractable aspiration may require diversion of the airway from the pharynx. The epiglottoplasty procedure involves suturing the epiglottis onto the perimeter of the larynx without creating resistance to the natural lines of force of the epiglottic cartilage. The procedure starts by an anterior subhyoid pharyngotomy. The epiglottis is released from the pre-epiglottic space and the thyroepiglottic ligament is sectioned. The disinsertion is completed in the laryngeal lumen by sectioning the epiglottis on each side by following its edges. The pharyngoepiglottic folds are preserved so as to serve as the rotational axis for the freed epiglottis. The petiole of the epiglottis is anchored to the posterior commissure and the free edge of the epiglottis above the ala and the angle of the thyroid cartilage, while the lateral sides of the suprahyoid epiglottis are sutured to the superior part of the arytenoids. This procedure was performed successfully in three patients with intractable aspiration.

Citations

Jun 16, 2005·International Journal of Pediatric Otorhinolaryngology·Maky A HafidhJohn D Russell
Dec 24, 2002·Archives of Disease in Childhood·P C Seddon, Y Khan
Nov 1, 2003·The Annals of Otology, Rhinology, and Laryngology·Paul MokJacqueline Schaefer-Mojica
Jul 18, 2019·The Annals of Otology, Rhinology, and Laryngology·Yue MaPeak Woo

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