Intractable aspiration is a life-threatening problem and often requires a procedure for blocking or separating the larynx from the bronchial tree. The disadvantage of these techniques is a compromise of phonation. We report the use of a speech fistula after laryngotracheal diversion to restore voice. It allows for the definitive treatment of aspiration, while maintaining the use of the vocal folds for phonation.
MillerFREliacharI. Managing the aspirating patient. Am J Otolaryngol1994; 15: 1–17.
2.
SasakiCTSuzukiMHoriuchiMKirchnerJA. The effect of tracheostomy on the laryngeal closure reflex. Laryngoscope1977; 87: 1428–33.
3.
BergHMJacobsJBPerskyMSCohenNL. Oropharyngeal myotomy: A review of surgical results in patients with cricopharyngeal achalasia of neurogenic origin. Laryngoscope1985; 95: 1337–40.
4.
GoodeRL. Laryngeal suspension in head and neck surgery. Laryngoscope1976; 86: 349–52.
5.
KrespiYPPelzerHJSissonGA. Management of chronic aspiration by subtotal and submucosal cricoid resection. Ann Otol Rhinol Laryngol1985; 94: 580–3.
6.
KoufmanJAIsaacsonG. Laryngoplastic phonosurgery. Otolaryngol Clin North Am1991; 24: 1151–77.
LindemanRC. Diverting the paralyzed larynx: A reversible procedure for intractable aspiration. Laryngoscope1975; 85: 157–80.
12.
BaronBCDedoHH. Separation of the larynx and trachea for intractable aspiration. Laryngoscope1980; 90: 1927–32.
13.
LindemanRCYaringtonCTJrSuttonD. Clinical experience with the tracheoesophageal anastomosis for intractable aspiration. Ann Otol Rhinol Laryngol1976; 85: 609–12.
14.
EiseleDWYaringtonCTJrLindemanRCLarrabeeWFJr. The tracheoesophageal diversion and laryngotracheal separation procedures for treatment of intractable aspiration. Am J Surg1989; 157: 230–6.
15.
EiblingDESnydermanCHEiblingC. Laryngotracheal separation for intractable aspiration: A retrospective review of 34 patients. Laryngoscope1995; 105: 83–5.
16.
LazarusCLLogemannJAPauloskiBR. Swallowing disorders in head and neck cancer patients treated with radiotherapy and adjuvant chemotherapy. Laryngoscope1996; 106: 1157–66.
