Primary tracheoesophageal puncture vs esophageal speech.
Primary tracheoesophageal puncture vs esophageal speech.
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原发性气管食管穿刺与食管言语。
DOI：
10.1001/archotol.1992.01880020090021
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
P. García
中科院分区：
文献类型：
--
作者：
M. Quer;J. Burgués;P. García
我们研究了无喉患者气管食管穿刺和假体插入的成本效益概况，这些患者有机会在食管和假体发音之间进行选择。对28例喉全切除术患者进行了一次气管食管穿刺。其中5名患者因无法正确使用假体发声而被排除在研究之外。其余的人在使用气管食管语音的同时接受食管语音指导，并永久允许在两种无喉语音技术之间转换。70%的患者（16/23）离开了假体的声音只使用食管讲话，即使他们同意，假体的声音是上级食管的声音。其余30%（7/23）继续使用气管食管语音几乎完全。作者认为，初次气管食管穿刺显著提供了心理和实际帮助，因为它们提供了立即和清晰的术后声音，并且每三名患者中就有一名将使用它们进行日常口腔交流。尽管如此，食管语言仍然是我们地区那些设法学习它的患者首选的声音恢复方法。
We studied the cost-efficiency profile of tracheoesophageal puncture with prosthesis insertion in alaryngeal patients who were given the opportunity of choosing between esophageal and prosthetic voice. A primary tracheoesophageal puncture was made in 28 patients who were undergoing total laryngectomy. Five of the patients were excluded from the study because of failure to phonate correctly with their prostheses. The remainder were given esophageal speech instruction while they were using tracheoesophageal speech, and were permanently allowed to shift between both techniques of alaryngeal voice. Seventy percent of the patients (16/23) left the prosthetic voice to use only esophageal speech, even though they agreed that prosthetic voice was superior to esophageal voice. The remaining 30% (7/23) continued to use tracheoesophageal speech almost exclusively. In the authors' opinion, primary tracheoesophageal punctures significantly provide both psychological and practical help, as they supply an immediate and clear postoperative voice, and one of every three patients will use them for daily oral communication. Nevertheless, esophageal speech is still the method of voice restoration preferred in our region by those of our patients who managed to learn it.