• Surgical closure of the glottis is reserved for patients who have suffered progressive loss of sphincteric and phonatory laryngeal function. In the prevention of life-threatening aspiration, a triplelayer closure is performed with use of a superiorly based sternohyoid muscle flap. Surgical closure is theoretically reversible should sufficient neuromuscular function return in any given patient.
(Arch Otolaryngol 106:422-423, 1980)
Sasaki CT, Milmoe G, Yanagisawa E, Berry K, Kirchner JA. Surgical Closure of the Larynx for Intractable Aspiration. Arch Otolaryngol. 1980;106(7):422–423. doi:10.1001/archotol.1980.00790310046011
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