AN ENDOSCOPIC TECHNIQUE FOR RESTORATION OF VOICE AFTER LARYNGECTOMY
AN ENDOSCOPIC TECHNIQUE FOR RESTORATION OF VOICE AFTER LARYNGECTOMY
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DOI：
10.1177/000348948008900608
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发表时间：
1980-01-01
影响因子：
1.4
通讯作者：
BLOM, ED
中科院分区：
文献类型：
--
作者：
SINGER, MI;BLOM, ED
全喉切除术后发声的恢复是通过使用各种改良的气管插管和瓣膜通过计划或自发的瘘管转移呼出的肺空气来进行的。这些技术受到抽吸、分流器疤痕闭合、伤口并发症和无法持续发声的限制。据报道，使用独特的瓣膜假体的内窥镜方法消除了复杂的手术重建、抽吸和狭窄的 2 年经验。在 60 名患者中，54 名 (90%) 的患者声音流畅，但有 1 名吞咽问题。 63% 的患者在恢复声音之前接受放射治疗，72% 的患者在接受根治性颈清扫术之前进行声音恢复。内窥镜手术、住院和言语治疗周期短，构成了一个具有成本效益的嗓音康复方案。这种简单方法的功效和无并发症的情况令人鼓舞。
Restoration of voice after total laryngectomy is performed by diversion of exhaled pulmonary air through planned or spontaneous fistulae with a variety of modified tracheal cannulas and valves. These techniques are limited by aspiration, scar closure of the shunts, wound complications and failure to achieve voice consistently. A 2 yr experience with an endoscopic method using a unique valved prosthesis eliminating complicated surgical reconstructions, aspiration and stenosis is reported. Of 60 patients, 54 (90%) achieved fluent voices with 1 deglutition problem. Radiation therapy preceded voice restoration in 63% of the patients and radical neck dissection in 72%. The endoscopic procedure, hospitalization and period of speech therapy were short and constitute a cost-effective voice rehabilitation program. The efficacy of this simple method and lack of complications are encouraging.