Triple-layer laryngeal closure for intractable aspiration
Guven Mehmet a1, Aladag Ibrahim a1, Eyibilen Ahmet a1andKaplan Yuksel a2 a1 Department of Otorhinolaryngology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey a2 Department of Neurology, Gaziosmanpasa University Faculty of Medicine, Tokat, Turkey
Impaired laryngeal protective function can result in intractable aspiration, which causes recurrent life-threatening pneumonia. Several surgical operations have been developed to treat intractable aspiration. In this case, we report a successful case of triple-layer laryngeal closure, which was performed in a patient with type II diabetes mellitus and nutritional failure due to intractable aspiration that had been caused by several stroke attacks. Triple-layer laryngeal closure is a unique modified technique that combines laryngotracheal separation and glottic closure operations. The method that we performed can be done more safely in patients who have higher post-operative and general anaesthesia risks.