{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T11:16:13Z","timestamp":1772450173845,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this paper is to describe a novel, safe, and effective surgical technique to eliminate aspiration, that is performed entirely by reconstructive transoral laser microsurgery (R\u2010TLM). Eleven tracheostomy\u2010dependent patients with recurrent pneumonia secondary to intractable aspiration treated with transoral laryngeal closure were included in our study. In all cases, the supraglottic mucosa is incised in a circumferential manner. The distal tissues are sutured side\u2010to\u2010side longitudinally, and the superficial tissues are sutured back\u2010to\u2010front transversally. All patients successfully underwent transoral laryngeal closure without significant perioperative complication. Four patients resumed oral feeding for effective nutrition and two patients for pleasure. One patient developed a small fistula with a leak that warranted secondary closure by a follow\u2010up R\u2010TLM procedure and subsequently held to protect his airway. Complete supraglottic laryngeal closure can be performed safely and effectively using R\u2010TLM techniques. They provide a natural\u2010orifice alternative to open surgery in patients with intractable aspiration.<\/jats:p>","DOI":"10.1002\/hed.26599","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T16:53:08Z","timestamp":1609174388000},"page":"1370-1375","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Transoral closure of the supraglottic larynx for intractable aspiration"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5013-2533","authenticated-orcid":false,"given":"Ihab","family":"Atallah","sequence":"first","affiliation":[{"name":"Otolaryngology\u2010Head &amp; Neck Surgery Department Grenoble Alpes University Hospital  Grenoble France"},{"name":"School of Medicine Grenoble Alpes University  Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul F.","family":"Castellanos","sequence":"additional","affiliation":[{"name":"Mercy Health\u2014St. Rita's Ear, Nose and Throat  Lima Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,28]]},"reference":[{"issue":"5","key":"e_1_2_6_2_1","first-page":"383","article-title":"No elimination of aspiration pneumonia in neurologically disabled patients with feeding gastrostomy","volume":"167","author":"Hassett JM","year":"1988","journal-title":"Surg Gynecol Obstet"},{"issue":"3","key":"e_1_2_6_3_1","first-page":"154","article-title":"Evaluation and management of chronic aspiration","volume":"87","author":"Blitzer A","year":"1987","journal-title":"N Y State J Med"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341256"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600516"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197501000-00012"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1983.00800160003001"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197203000-00011"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197506262922609"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600602"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26212"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947708600517"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790310046011"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419862581"},{"issue":"2","key":"e_1_2_6_15_1","first-page":"104","article-title":"Therapy of hypopharyngeal cancer. 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