著者

足立 直子

出版者

国際芥川龍之介学会事務局

雑誌

芥川龍之介研究 = Akutagawa review (ISSN:1882451X)

巻号頁・発行日

no.12, pp.96-99, 2018

著者

足立 直子

出版者

ぎょうせい

雑誌

国文学 : 解釈と鑑賞 (ISSN:03869911)

巻号頁・発行日

vol.75, no.2, pp.145-153, 2010-02

著者

内田 真哉 足立 直子 西村 泰彦 牛嶋 千久 出島 健司

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.101, no.2, pp.121-126, 2008-02-01 (Released:2011-10-07)

参考文献数

10

被引用文献数

4 4

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Many patients with severe dysphagia are male, the larynx has often dropped, and even tracheostomy is sometimes difficult. During surgery to prevent aspiration in such patients, techniques that can be performed even in the presence of a dropped larynx are necessary. In addition, since complications are generally present in such patients, minimally invasive surgical techniques are desirable. Therefore, we developed a laryngeal closure method in the subglottic area that prevents postoperative suture failure and can also be performed in patients with a dropped larynx. This surgical technique was performed in patients with severe dysphagia.The subjects comprised 5 patients who had undergone this procedure more than 6 months previously. All were males aged ≥70 years and had demonstrated repeated episodes of pneumonia.In this surgical technique, laryngeal closure is performed in the subglottic area, and the dead space formed in the suture area is filled with an anterior cervical muscle flap. The status of ingestion before and after surgery and the course were observed and evaluated.There were severe complications in any patients. In all patients, the prevention of aspiration was achieved, and the status of ingestion improved.This surgical procedure may be an accurate aspiration-preventive technique that is minimally invasive and infrequently induces suture failure.

著者

足立 直子 Naoko Adachi

雑誌

日本文藝研究 (ISSN:02869136)

巻号頁・発行日

vol.55, no.1, pp.53-67, 2003-06-10