巴顿纽扣及造口周围呼吸瓣用于免提式食管气管发音的经验。
Experience with Barton button and peristomal breathing valve attachments for hands-free tracheoesophageal speech.
作者信息
Lewin J S, Lemon J, Bishop-Leone J K, Leyk S, Martin J W, Gillenwater A M
机构信息
Department of Head and Neck Surgery, The University of Texas, M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Box 69, Houston, Texas 77030, USA.
出版信息
Head Neck. 2000 Mar;22(2):142-8. doi: 10.1002/(sici)1097-0347(200003)22:2<142::aid-hed5>3.0.co;2-g.
BACKGROUND
Tracheostoma breathing valves permit hands-free tracheoesophageal (TE) speech production; however, few laryngectomees routinely use them because of problems with attachment.
METHODS
We retrospectively reviewed the charts of 45 TE speakers to determine the success rate and factors associated with successful breathing valve use based on attachment. All patients attempted to use a tracheostoma breathing valve with either a standard or customized peristomal housing, or a standard or customized Barton button. Device selection was based on inspection of the patient's neck and peristomal contour. Six to eight consecutive hours of attachment defined success.
RESULTS
Overall, 9% of subjects succeeded with any peristomal attachment as compared to 68% with either a standard (57%) or customized (85%) Barton button. Smooth stomal contour, a contiguous stomal lip, and correct button length were important for successful Barton button use.
CONCLUSIONS
Standard or customized Barton buttons offer excellent alternatives to peristomal housing attachments for hands-free TE speech in select patients.
背景
气管造口呼吸阀可实现无需手持的经气管食管（TE）言语发声；然而，由于附着问题，很少有喉切除患者常规使用它们。
方法
我们回顾性分析了45例TE言语者的病历，以确定基于附着情况的呼吸阀使用成功率及相关因素。所有患者均尝试使用带有标准或定制的造口周围外壳或标准或定制的巴顿纽扣的气管造口呼吸阀。设备选择基于对患者颈部和造口周围轮廓的检查。连续附着6至8小时定义为成功。
结果
总体而言，9%的受试者使用任何造口周围附着方式成功，而使用标准（57%）或定制（85%）巴顿纽扣的成功率为68%。光滑的造口轮廓、连续的造口唇以及合适的纽扣长度对于成功使用巴顿纽扣很重要。
结论
对于特定患者的无需手持的TE言语，标准或定制的巴顿纽扣是造口周围外壳附着方式的极佳替代方案。
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