The electrolarynx: voice restoration after total laryngectomy.
The electrolarynx: voice restoration after total laryngectomy.
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DOI：
10.2147/mder.s133225
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Sinclair CF
中科院分区：
文献类型：
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作者：
Kaye R;Tang CG;Sinclair CF
说话和用声音交流的能力是人类独特的特征，也是许多日常生活活动的基础，例如打电话和与亲人交谈。当在全喉切除术（TL）期间移除喉时，声音的丧失可导致患者生活质量的毁灭性下降，并因其无法有效地与他人沟通而引发重大挫折感。在过去的50年里，TL后语音恢复技术取得了许多进展。目前，主要有三种声音恢复方法：电子喉，食管语音和气管食管语音通过气管食管穿刺（TEP）与语音假体。虽然TEP语音是目前声乐康复的金标准，但由于各种原因，仍有相当一部分患者无法使用或获得TEP语音。因此，电子喉是一个可行的和有用的替代这些患者。本文将着重于电子喉的发音重建，其目的如下：1）提供对全喉切除术后发音重建重要性的认识。2)目的探讨全喉切除术后应用电子喉重建发音功能的可行性。3)概述目前可用的一些电子喉设备，包括其作用机制和局限性。4)比较电喉发音与TEP和食管发音的利弊。
The ability to speak and communicate with one’s voice is a unique human characteristic and is fundamental to many activities of daily living, such as talking on the phone and speaking to loved ones. When the larynx is removed during a total laryngectomy (TL), loss of voice can lead to a devastating decrease in a patient’s quality of life, and precipitate significant frustration over their inability to communicate with others effectively. Over the past 50 years there have been many advances in techniques of voice restoration after TL. Currently, there are three main methods of voice restoration: the electrolarynx, esophageal speech, and tracheoesophageal speech through a tracheoesophageal puncture (TEP) with voice prosthesis. Although TEP voice is the current gold standard for vocal rehabilitation, a significant minority of patients cannot use or obtain TEP speech for various reasons. As such, the electrolarynx is a viable and useful alternative for these patients. This article will focus on voice restoration using an electrolarynx with the following objectives: 1) To provide an understanding of the importance of voice restoration after total laryngectomy. 2) To discuss how the electrolarynx may be used to restore voice following total laryngectomy. 3) To outline some of the current electrolarynx devices available, including their mechanism of action and limitations. 4) To compare pros and cons of electrolaryngeal speech to TEP and esophageal speech.