Abstract
Chronic aspiration is a life-threatening problem that complicates the course of patients with both neurological and structural compromise of their upper aerodigestive tract. Traditional management with tracheostomy and gastrostomy feeding often fails to control aspiration in the long term, and the patient suffers from recurrent bouts of pneumonia. The following article presents a review of the current surgical strategies to prevent aspiration, which range from a variety of reversible procedures to total laryngectomy.
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