Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children

• 資料種別: 博士論文
• タイトル: Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children
• 著者・編者: Chida, Izumi; Tamura, Koichi; Nakagawa, Shin-ichi; Ando, Masahiro; Kuno, Emi; Hoshikawa, Hiroshi; Mori, Nozomu; Takeda, Noriaki
• 著者標目: Chida, Izumi; Tamura, Koichi; Nakagawa, Shin-ichi; Ando, Masahiro; Kuno, Emi; Hoshikawa, Hiroshi; Mori, Nozomu; Takeda, Noriaki
• 出版事項: Elsevier
• 出版年月日等: 2012-12-20
• 出版年（W3CDTF）: 2012-12-20
• 並列タイトル等: 重症心身障害児に対する喉頭気管分離・気管食道吻合術と喉頭気管分離術の臨床的効果
• タイトル（掲載誌）: Auris Nasus Larynx
• 巻号年月日等（掲載誌）: 45 4
• 掲載巻: 45
• 掲載号: 4
• 掲載ページ: 728-731
• ISSN（掲載誌）: ISSN : 0385-8146
• 授与機関名: 徳島大学
• 授与年月日: 2013-12-26
• 報告番号: 甲第2657号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Tracheoesophageal diversion; Laryngotracheal separation; Trumpet-shaped tracheotomy; Intractable aspiration; Neurologically impaired children
• 対象利用者: 一般
• 一般注記: Objective: Outcomes of tracheoesophageal diversion and laryngotracheal separation were evaluated in 15 neurologically impaired children treated for intractable aspiration. Methods: A retrospective analysis of the hospital records was carried out in 15 consecutive pediatric patients who underwent either tracheoesophageal diversion or laryngotracheal separation with trumpet-shaped tracheotomy from 1999 to 2006 in Kagawa Children’s Hospital. Results: The number of hospital admissions for aspiration pneumonia after surgery was significantly decreased in 6 patients who were cared for at home. The parent-reported number of secretion suctioning was decreased after surgery especially in patients with pre-operative tracheotomy or intubation. Four patients fed through naso-gastric tube progressed with oral diet post-operatively, whereas 3 patients who had pre-operative tracheotomy developed temporary post-operative tracheocutaneous fistula that was managed by local wound care. Conclusion: It is suggested that tracheoesophageal diversion and laryngotracheal separation decrease the morbidity of pediatric patients and improve their quality of life and that of their parents. It is suggested that the risk of developing post-operative fistula is higher in pediatric patients with than without pre-operative tracheotomy.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 著作権情報: © 2012 Elsevier Ireland Ltd. All rights reserved.
• 関連情報（DOI）: 10.1016/j.anl.2012.11.001
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/10/106052/2017092914525729771/LID201403051002.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/10/106052/20191216132417170655/k2657_fulltext.pdf fulltext