de Maddalena H, Pfrang H, Schohe R, Zenner H P
Universitäts-Hals-Nasen-Ohren-Klinik Tübingen.
Laryngorhinootologie. 1991 Oct;70(10):562-7. doi: 10.1055/s-2007-998098.
Intelligibility and psychosocial adjustment are measured by the PLTT (Post-Laryngectomy-Telephone-Test) and a newly developed questionnaire (FPAL). 110 male patients with total or partial laryngectomies are tested. Three different groups are compared with each other: laryngectomees with voice prostheses, laryngectomees with oesophageal voice or artificial larynx, and patients with partial laryngectomies. As was to be expected, intelligibility (single words and sentences) was best in patients with partial laryngectomies. The intelligibility of the laryngectomees with voice prostheses is significantly higher than the intelligibility of patients with oesophageal voice or artificial larynx. There was no difference between the groups with regard to the subjective assessment of intelligibility in relation to various communication partners. Partial laryngectomies have the lowest negative impact on the social and psychological situation of the patients. Laryngectomees, however, are more lonely, indicate more psychological stress in social interactions, and have a less positive evaluation of their life. Statistical analyses reveal no difference in psychosocial adjustment between laryngectomees with voice prostheses, oesophageal voice and artificial larynges.
可懂度和心理社会适应情况通过喉切除术后电话测试（PLTT）和新开发的问卷（FPAL）进行测量。对110例全喉或部分喉切除的男性患者进行了测试。将三个不同的组相互比较：使用语音假体的喉切除患者、使用食管语音或人工喉的喉切除患者以及部分喉切除患者。正如预期的那样，部分喉切除患者的可懂度（单个单词和句子）最佳。使用语音假体的喉切除患者的可懂度明显高于使用食管语音或人工喉的患者。在与不同交流伙伴的可懂度主观评估方面，各小组之间没有差异。部分喉切除对患者的社会和心理状况的负面影响最小。然而，喉切除患者更孤独，在社交互动中表现出更多的心理压力，并且对自己生活的评价不太积极。统计分析表明，使用语音假体、食管语音和人工喉的喉切除患者在心理社会适应方面没有差异。
