A case of Parkinson's disease with aspiration reduced by glottic closure under local anesthesia

• Published in: OTOLOGIA FUKUOKA Vol. 50; no. 6; pp. 499 - 504
• Main Authors: TAYAMA, Niro, SASAKI, Takuo, YOKOYAMA, Tomokazu, YUGE, Tadashi
• Format: Journal Article
• Language: Japanese
• Published: JIBI TO RINSHO KAI 20.11.2004
• Subjects: パーキンソン病; 声門閉鎖術; 誤嚥防止手術
• ISSN: 0447-7227; 2185-1034
• DOI: 10.11334/jibi1954.50.6_499

Parkinson's disease is a progressive degenerative disease and is complicated by swallowing disor ders leading to aspiration pneumonia with high incidence in terminal patients. Surgical interven- tions are performed to prevent aspiration frequently. However, there are some patients who are not eligible for general anesthesia because of existing severe complications. Glottis closure is a surgical technique to prevent aspiration that is minimally invasive due to the short period of time required. We are going to report a patient with severe Parkinson's disease who could not be subjected to general anesthesia and in whom glottis closure under local anesthesia succeeded in reducing aspiration. The patient was a 67-year-old man who had been diagnosed as having Parkinson's disease 16 years ago. Oral feeding was stopped because of repeated bouts of aspiration pneumonia and he was transferred to our department in November to receive surgery for aspiration prevention. Laryngectomy was the procedure initially considered. However, in accordance with our anesthetists who found general an esthesia would be difficult, we performed glottis closure under local anesthesia on December12, 2003. There were no major per-operative or post-operative complications. On December 22. VF revealed no aspiration and the patient resumed oral intake of waten He returned to the former hospital on Decem ber 24. Where he has been on oral feeding.