Motta S
Istituto di Patologia e Clinica Otorinolaringoiatrica e di Foniatria, II Facoltà di Medicina e Chirurgia, Università di Napoli.
Acta Otorhinolaryngol Ital. 1992 May-Jun;12(3):237-43.
Esophageal voice obtained through logopedic treatment and speech produced by electronic prostheses is the principal means of verbal communication of laryngectomized patients. Several factors condition the success of logopedic rehabilitation: entity of hypopharyngeal surgical exeresis and scar repairing modalities; rehabilitation technique employed; patient's skill in controlling pharyngo-esophageal tract and articulation organs; patient motivation. A previous study executed by our School reported that only the 20% of the patients who did not practise logopedic therapy employed the laryngophone. Reduced use of electronic prosthesis depends on three factors: acoustic products of poor quality; evidence of anatomic and functional impairment pointed out by laryngophone use; limitation of manual activity during phonation. Electronic prostheses have a precise indication in the following cases: immediately after surgery; in case of logopedic treatment failure and when tracheo-esophageal prosthesis are contraindicated; when the esophageal voice has an insufficient volume or in noisy environments. Finally indicative criteria to introduce patients to the most suitable rehabilitation modality are reported.
通过言语治疗获得的食管语音以及电子假体产生的语音是喉切除患者主要的言语交流方式。有几个因素影响着言语康复的成功：下咽手术切除范围和瘢痕修复方式；所采用的康复技术；患者控制咽食管段和发音器官的能力；患者的积极性。我们学院之前进行的一项研究报告称，未接受言语治疗的患者中只有20%使用了电子喉。电子假体使用减少取决于三个因素：声学产品质量差；使用电子喉指出的解剖和功能损害证据；发声时手部活动受限。电子假体在以下情况下有明确的适应证：术后立即使用；言语治疗失败且气管食管假体禁忌时；食管语音音量不足或在嘈杂环境中时。最后报告了将患者引入最合适康复方式的指示性标准。
