## Overview After laryngoplasty (tie-back) surgery, the arytenoid cartilage is permanently held open to improve airflow. Because the larynx can no longer close fully during swallowing, there is a lifelong risk of aspiration. Coughing when eating or drinking is common. Feeding management (no grain in hay nets, feed from the ground) reduces risk. ## Causes The surgical abduction prevents complete laryngeal closure during swallowing. ## Diagnosis History of tie-back surgery and clinical signs of coughing or aspiration. ## Treatment Management changes to reduce aspiration. Treat pneumonia if it occurs. Revision surgery is occasionally needed. ## Recovery and Prognosis Exercise tolerance usually improves, but aspiration risk is permanent and requires lifelong management. ## Prevention Careful feeding practices after surgery.
coughing when eating or drinking; occasional aspiration pneumonia; improved exercise tolerance; lifelong feeding management needed
## Overview After laryngoplasty (tie-back) surgery, the arytenoid cartilage is permanently held open to improve airflow. Because the larynx can no longer close fully during swallowing, there is a lifelong risk of aspiration. Coughing when eating or drinking is common. Feeding management (no grain in hay nets, feed from the ground) reduces risk. ## Causes The surgical abduction prevents complete laryngeal closure during swallowing. ## Diagnosis History of tie-back surgery and clinical signs of coughing or aspiration. ## Treatment Management changes to reduce aspiration. Treat pneumonia if it occurs. Revision surgery is occasionally needed. ## Recovery and Prognosis Exercise tolerance usually improves, but aspiration risk is permanent and requires lifelong management. ## Prevention Careful feeding practices after surgery.
coughing when eating or drinking; occasional aspiration pneumonia; improved exercise tolerance; lifelong feeding management needed