Speech rehabilitation and complications of primary tracheoesophageal puncture.
Speech rehabilitation and complications of primary tracheoesophageal puncture.
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初次气管食管穿刺的言语康复和并发症。
DOI：
10.3109/00016489309126193
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发表时间：
1993
期刊：
影响因子：
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通讯作者：
Toshio Yamashita
中科院分区：
文献类型：
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作者：
T. Fukutake;Toshio Yamashita
59例患者在喉切除术期间接受了气管食管穿刺，并将发音假体插入气管食管瘘中以实现无喉语音。在59名患者中，68%的患者在手术后立即进行了气管食管语音，其中9名患者发生了术后并发症。结果表明，一期气管食管穿刺术有利于喉功能的恢复。术后存活4年以上的22例患者中，82%的患者继续气管食管言语，22例患者中有13例在较长时间内发生了16例并发症。由于这些长期并发症中的75%可以通过手术治疗克服，因此对于气管食管语音和使用发音假体的患者，需要密切观察气管食管瘘并进行适当的治疗。
Fifty-nine patients underwent tracheoesophageal puncture during laryngectomy, and a voice prosthesis was inserted into the tracheoesophageal fistula to enable alaryngeal speech. For 68% of the 59 patients, tracheoesophageal speech was feasible right after surgery, and postoperative complications occurred in 9 of these 59. The results show that primary tracheoesophageal puncture is advantageous for alaryngeal speech rehabilitation. Eighty-two percent of the 22 patients who survived more than 4 years after surgery continued with tracheoesophageal speech, and 16 complications occurred over a longer term in 13 of the 22 patients. Since 75% of these long-term complications could be overcome by surgical treatment, close observation of the tracheoesophageal fistula and adequate treatment are needed for patients with tracheoesophageal speech and making use of a voice prosthesis.