全喉切除术同期Blom-Singer发音重建术

Voice reconstruction with Blom- Singer technique after total laryngectomy

目的探讨同期Blom-Singer发音重建术在喉切除术后的应用价值。方法 1998年11月至2001年6月因喉癌行全喉切除同期Blom-Singer发音重建术的患者36例。结果经随访半年以上,26例发音效果良好(72.2%)。失败者中5例因脱管而采用外置式气动发音管(喇叭仔);2例改用食管音,其余用手写交流。结论全喉切除术同期Blom-Singer发音重建术确实为患者解决全喉切除术后交流困难的痛苦。为提高发音重建术的效果,应慎重选择病例,安装时测距力求准确并注重门诊指导发音及复查。

Purpose To observe the value of voice reconstructive operation after total laryngectomy. Methods 36 cases (24 male, 12 female) of laryngeal carcinoma had been treated by total laryngectomy, and trachesophageal puncture with insertion of the Blom-Singer voice prosthesis was then performed. Results 26 cases (72.2%) acquired good quality of voice, while 10 cases failed, five of which needed using dynamic artificial larynx for speaking,2 using esophageal speech and 3 others using writing in communiacation. Conclusion A Blom- Singer voice reconstructive operation (Stage 1)achieves good results for patients by total laryngectony. In order to obtain much better phonatory result,care should be taken while the cases are chosen and the voice prosthesis are inserted.Outpatient- directing and follow- up should be emphasize