Surgical complications of tracheo-oesophageal puncture and speech valves.
Surgical complications of tracheo-oesophageal puncture and speech valves.
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DOI：
10.1097/moo.0b013e3280964dc8
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发表时间：
2007-04-01
影响因子：
1.6
通讯作者：
Cherry, John
中科院分区：
文献类型：
--
作者：
Malik, Tass;Bruce, Iain;Cherry, John
综述的目的：全喉切除术后的语言康复是未来生活质量的核心。尽管存在其他选择，但手术声音恢复已成为大多数喉切除者的“金标准”管理策略。考虑到这一点，这种技术的并发症是什么，以及如何成功地管理它们？本次审查的目的是提供一个全面的审查的主题，特别是参考技术，并发症和outcome.Recent调查结果：与任何手术干预，并发症可能会发生在术后早期或以后。本文详细解释了个别报告和案例系列中详细说明的各种问题。原发性或继发性气管食管穿刺也进行了讨论，沿着与并发症造成的语音valve itself.SUMMARY：积极的影响，手术的声音恢复对生活质量的alaryngeal患者大大超过了并发症通常与程序。对潜在问题的更多了解应继续降低并发症发生率。在多学科环境中选择并随后管理的患者中，初次穿刺似乎为患者提供了最佳结局。
PURPOSE OF REVIEW: Speech rehabilitation following total laryngectomy is central to future quality of life. Although other options exist, surgical voice restoration has emerged as the 'gold standard' management strategy in the majority of laryngectomees. Taking this into account, what are the complications of this technique and how should they be successfully managed? The purpose of this review is to provide a comprehensive review of the subject, with particular reference to technique, complications and outcome.RECENT FINDINGS: As with any surgical intervention, complications may occur in the early postoperative period or later. The article provides a detailed explanation of the varying problems detailed in individual reports, and in case series. Primary or secondary tracheo-oesophageal puncture is also discussed, along with complications resulting from the speech valve itself.SUMMARY: The positive impact of surgical voice restoration on quality of life in the alaryngeal patient considerably outweighs the complications commonly associated with the procedure. Greater knowledge of the potential problems should continue to reduce the complication rate. Primary puncture, in a patient selected and subsequently managed in a multidisciplinary environment, would appear to provide the best outcome for the patient.