Li Qing-ming, Zhang Bao-quan, Peng Pei-hong, Wei Bo-jun, Chen Xiao-wei, Shi Xiu-zhen, Gao Zhi-qiang, Yin Hai-jin, Feng Guo-dong
Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2005 Dec;40(12):925-8.
To investigate causes and treatment of complications of tracheoesophageal puncture for Blom-Singer voice restoration after total laryngectomy.
From 1986 to 2004, one hundred and fifty one cases with Blom-Singer technique after total laryngectomy for voice restoration were retrospectively analyzed.
All cases were followed up from 6 months to 15 years. Among 151 cases, 138 cases got successful phonation and the total success rate of voice restoration was 91.4%. Of the 151 cases, 15 cases occurred complications. The rate of complications was 9.9%. The common complications included fistula granulations, infection, and leakage. Twelve cases got successful treatment accordingly, and the other 3 cases failed in phonation.
The procedure of tracheoesophageal puncture for voice restoration is relatively simple and has low complications. this method had high phonation success and good phonation quality, which is one of the best way to make laryngectomee to speak.
探讨全喉切除术后采用Blom-Singer发音重建术行气管食管穿刺术并发症的原因及治疗方法。
回顾性分析1986年至2004年151例行全喉切除术后采用Blom-Singer技术进行发音重建的病例。
所有病例随访6个月至15年。151例中，138例发音成功，发音重建总成功率为91.4%。151例中发生并发症15例，并发症发生率为9.9%。常见并发症包括瘘口肉芽、感染及渗漏。12例经相应治疗后发音成功，另3例发音失败。
气管食管穿刺发音重建术操作相对简单，并发症少。该方法发音成功率高，发音质量好，是全喉切除术后患者恢复发声的最佳方法之一。
