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

• Material Type: 博士論文
• ISSN: 0385-8146
• Title: Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children
• Volume: 45 4
• Author/Editor: Chida, Izumi; Tamura, Koichi; Nakagawa, Shin-ichi; Ando, Masahiro; Kuno, Emi; Hoshikawa, Hiroshi; Mori, Nozomu; Takeda, Noriaki
• Author Heading: Chida, Izumi; Tamura, Koichi; Nakagawa, Shin-ichi; Ando, Masahiro; Kuno, Emi; Hoshikawa, Hiroshi; Mori, Nozomu; Takeda, Noriaki
• Publication, Distribution, etc.: Elsevier
• Publication Date: 2012-12-20
• Publication Date (W3CDTF): 2012-12-20
• Alternative Title: 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
• Periodical title: Auris Nasus Larynx
• Degree grantor/type: 徳島大学
• Date Granted: 2013-12-26
• Date Granted (W3CDTF): 2013-12-26
• Dissertation Number: 甲第2657号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第2657号
• Text Language Code: eng
• Subject Heading: Tracheoesophageal diversion; Laryngotracheal separation; Trumpet-shaped tracheotomy; Intractable aspiration; Neurologically impaired children
• Target Audience: 一般
• Note (General): 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.
• DOI: info:doi/10.1016/j.anl.2012.11.001; https://doi.org/info:doi/10.1016/j.anl.2012.11.001
• Persistent ID (NDL): info:ndljp/pid/11433075; https://dl.ndl.go.jp/pid/11433075
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2020-01-15T13:48:52+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://repo.lib.tokushima-u.ac.jp/106052
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp