Post-laryngectomy voice re habilitation with a voice prosthesis in a young girl with advanced thyroid cancer
Post-laryngectomy voice re habilitation with a voice prosthesis in a young girl with advanced thyroid cancer
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患有晚期甲状腺癌的年轻女孩使用发声假体进行喉切除术后发声康复
DOI：
10.1016/j.anl.2016.02.009
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发表时间：
2016
影响因子：
1.7
通讯作者：
Hiromi Takeuchi
中科院分区：
文献类型：
--
作者：
Takahiro Fukuhara;Masayuki Miyoshi;Taihei Fujii;Naritomo Miyake;Kenkichiro Taira;Satoshi Koyama;Daizo Taguchi;Kazunori Fujiwara;Hideyuki Kataoka;Hiroya Kitano;Hiromi Takeuchi
本报告的目的是评估年轻甲状腺癌患者使用发声假体进行发声康复的效果。一名 17 岁女孩因治疗甲状腺癌而进行喉切除术后，使用发声假体进行了发声恢复。她在 17 岁和 21 岁时完成了与语音相关的问卷（语音障碍指数 10 和语音相关生活质量调查），并接受了语音功能评估。她使用发声假肢发声的声谱图显示低频声音，没有明显的基频。她为自己沙哑的声音感到羞耻，高中时没有使用发声假肢。然而，20岁开始工作后，她在职场上用声音交流。 21 岁时，她的问卷分数，尤其是与身体和功能领域相关的分数，与 17 岁时相比有所提高。对于因晚期甲状腺癌而接受喉切除术的年轻患者，建议使用发声假体恢复声音。当患者达到工作年龄时，使用发声假体恢复声音的优势可能会增加，并且可能会大大改善喉切除术后的生活质量。
The aim of this report is to evaluate the effects of voice rehabilitation with a voice prosthesis in a young patient with thyroid cancer. A 17-year-old girl underwent voice restoration with a voice prosthesis after laryngectomy to treat thyroid cancer. She completed voice-related questionnaires (the Voice Handicap Index-10 and Voice-Related Quality Of Life Survey) at ages 17 and 21 and underwent phonetic functional evaluation. The sound spectrograms of her phonation using the voice prosthesis showed low frequency sounds without an obvious basic frequency. She was ashamed of her hoarse voice and did not use her voice prosthesis during high school. However, after beginning to work at age 20, she used her voice to communicate in the workplace. At age 21, her questionnaire scores, especially those related to the physical and functional domains, improved compared with those at age 17. Voice restoration with a voice prosthesis is recommended for young patients who undergo laryngectomy for advanced thyroid cancer. The advantages of voice restoration with a voice prosthesis may increase when the patient reaches working age, and it may improve post-laryngectomy quality of life considerably.