Long-term outcomes of reversal of laryngotracheal separation.
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Data
2009
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Resumo
The aim of this study was to evaluate the longterm
outcomes of the reversal of laryngotracheal separation
(LTS) in patients who underwent extensive resection of
tumors located in the upper aerodigestive tract. We performed
a retrospective analysis of the medical records of
eight patients who had LTS reversal. The operation was
successful in six patients who were followed up for a
period of 17-99 months (mean = 46.3 ± 26.2). The mean
interval between LTS and surgical reversal was
16.6 ± 9.1 months. Four patients had postoperative complications:
mild to moderate transient aspiration in two,
tracheal stenosis in one, and severe aspiration followed by
tracheal stenosis in one. In the last two cases, surgical
reversal was not successful. The patients whose surgery
was effective maintained oral feeding and comprehensible
speech until the end of the follow-up period. We conclude
that reversal of LTS is technically simple and, when successful,
permits the return to oral feeding and comprehensible
speech for an indefinite period of time. However,
the frequency of complications and inefficacy of LTS
reversal should not be overlooked.
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Palavras-chave
Deglutition, Deglutition disorder, Laryngotracheal separation, Reversal Tumors
Citação
ZOCRATTO, O. B.; ROCHA, P. R. S. R.; PAIXÃO, R. de M. Long-term outcomes of reversal of laryngotracheal separation. Dysphagia (New York. Print), v. 26, p. 144-149, 2011. Disponível em: <http://link.springer.com/article/10.1007%2Fs00455-010-9284-2>. Acesso em: 29 jan. 2017.