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Conservative laryngectomy: An effective treatment for severe aspiration in motor neurone disease

  • Maurice Hawthorne (a1), Roger Gray (a1) and Cecelia Cottam (a1)

Abstract

Summary

Four cases are presented to illustrate that conservative laryngectomy is a simple and reliable treatment for severe aspiration in patients with motor neurone disease whose symptoms are predominantly bulbar. This treatment leads to a rapid return of the patients to their home, thus reducing their dependancy on skilled nursing care.

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Corresponding author

12 Kelston Grove, Hanham, Bristol BS15 3RL.

References

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Baron, B. C. and Dedo, H. H. (1980) Separation of the larynx and trachea for intractable aspiration. The Laryngoscope, 90: 19271932.
Cannon, C. R. and McLean, W. C. (1982) Laryngectomy for chronic aspiration. American Journal of Otolaryngology, 3: 145149.
Kirchner, J. C. and Sasaki, C. T. (1984) Surgery for aspiration. Otolaryngologic Clinics of North America, 17(1): 4956.
Lindemann, R. C., Yarrington, C. T. and Sutton, D. (1976) Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Annals of Otology, Rhinology and Laryngology, 85: 609612.
Loizou, L. A., Small, M. and Dalton, G. A. (1980) Cricopharyngeal myotomy in motor neurone disease. Journal of Neurology, Neurosurgery and Psychiatry, 43: 4245.
Montgomery, W. W. (1975) Surgery to prevent aspiration. Archives of Otolaryngology, 101: 679682.
Vecchione, T. R., Habal, M. B. and Murray, J. E. (1975) Further experiences with the arytenoid-epi-glottic flap for chronic aspiration pneumonia. Plastic and Reconstructive Surgery, 55: 318323.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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