Callaway E, Truelson J M, Wolf G T, Thomas-Kincaid L, Cannon S
Department of Speech Pathology, Veterans Administration Hospital, Ann Arbor, Mich.
Laryngoscope. 1992 Jun;102(6):704-8. doi: 10.1288/00005537-199206000-00018.
This prospective study was undertaken to assess the predictive value of esophageal insufflation on the acquisition of tracheoesophageal (TE) speech. Fourteen total laryngectomy patients were evaluated prior to tracheoesophageal puncture (TEP) using objective esophageal pressure measurements. These patients then were followed prospectively for 6 to 13 months. Speech was assessed at the time of prosthesis fitting, at 1 month, at less than 6 months, and at greater than 6 months post-TEP. No patient underwent pharyngeal myotomy. Pre-TEP esophageal insufflation pressure was associated (P = .065) with successful TE speech at the time of prosthesis fitting, but was not associated with successful TE speech acquisition after 6 months. This study's results suggest that patients with poor pre-TEP esophageal insufflation test results will usually obtain successful TE speech given adequate time and training, even without pharyngeal myotomy.
本前瞻性研究旨在评估食管吹气对获得气管食管（TE）语音的预测价值。在进行气管食管穿刺（TEP）之前，使用客观的食管压力测量方法对14例全喉切除术患者进行了评估。然后对这些患者进行了6至13个月的前瞻性随访。在安装假体时、TEP后1个月、不到6个月以及超过6个月时对语音进行评估。没有患者接受咽肌切开术。TEP前食管吹气压力与安装假体时成功的TE语音相关（P = 0.065），但与6个月后成功获得TE语音无关。本研究结果表明，即使不进行咽肌切开术，TEP前食管吹气测试结果不佳的患者在给予足够的时间和训练后通常也能成功获得TE语音。
