Communication after laryngectomy
Communication after laryngectomy
复制标题
喉切除术后的沟通
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
M. Žargi
中科院分区：
文献类型：
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作者：
I. Hočevar;M. Žargi
背景资料。喉切除术是晚期喉癌和下咽癌的治疗模式。它影响到许多重要的功能，包括言语。病人和方法。有多种喉部语音模式可用，因此任何喉部切除手术都应该有一种通信手段。结果。有各种各样的人造设备，包括能产生自己的电池驱动声音的电子设备。或者，患者可以学习一种新的发声形式，使用食道上部的一段肌肉作为声音的来源(食道语音)。可以通过外科手术通过食管壁进行穿刺术，并在其中放置假体，将肺空气转移到食道并通过相同的肌肉段产生声音。结论。许多因素会影响对特定患者使用的替代方案的选择。在斯洛文尼亚，食道发音是最常用的发音方式。
Background. Laryngectomy is the mode of treatment of the patients with advanced laryngeal and hypopharyngeal cancer. It affects many important functions, including speech. Patients and methods. Various alaryngeal speech modes are available so that no laryngectomee should be left without a means of communication. Results. There is a variety of artificial devices, including electronic ones that produce their own battery driven sound. Alternatively, the patient can learn a new form of voicing using a muscular segment of the upper esophagus as a source of sound (esophageal speech). A puncture can be created surgically through the esophageal wall and a prosthesis placed in it to divert pulmonary air into the esophagus and through the same muscular segment to produce sound. Conclusions. Many factors influence the choice of an alternative to be used with a particular patient. In Slovenia, esophageal speech is the most frequently used alaryngeal speech mode.