Arnoux-Sindt B
Hôpital St Charles, Clinique ORL, Montpellier, France.
Rev Laryngol Otol Rhinol (Bord). 1992;113(4):339-42.
The crico-arytenoid articulation is a functional, anatomical entity the preservation or damage of which plays an important role in laryngeal carcinological surgery. In reconstructive laryngectomies, particular biomechanics of the neoglottis were observed at the origin of a specific rehabilitative protocol as well as an evolution over time of this crico-arytenoid unit. Functional readaptation should simultaneously deal with breathing, swallowing and speech. From D1 to D7, breathing work is started. From D6 to D14, swallowing is begun by establishing the sphincter. From D3 to D120, phonation work is dealt with by establishing a sphincter and the vibrator.
环杓关节是一个功能和解剖学实体，其保留或损伤在喉癌手术中起着重要作用。在喉重建术中，在特定康复方案的起源以及该环杓单元随时间的演变过程中，观察到了新声门的特殊生物力学。功能再适应应同时处理呼吸、吞咽和言语问题。从第1天到第7天，开始呼吸训练。从第6天到第14天，通过建立括约肌开始吞咽训练。从第3天到第120天，通过建立括约肌和振动器来进行发声训练。
