Paradowska-Opałka Beata, Tarnowska Czesława, Swidziński Piotr, Grochowska Ewa
Katedra i Klinika Otolaryngologii i Onkologii Laryngologicznej PAM w Szczecinie.
Otolaryngol Pol. 2007;61(5):698-706. doi: 10.1016/S0030-6657(07)70509-7.
Supracricoid laryngectomy with cricohyopexy (CHP) and cricoepiglottopexy (CHEP) are the one of functional laryngectomy.
The aim of the study is phonation assessment of the reconstruction larynx. Material and methods. The examined group consisted of 58 patients (49 males and 9 female). An average age 54. 32 patients underwent CHP and 26-CHEP CHP was performed in following modes: a) 1 arytenoid cartilage left in 17 cases, b) 2 arytenoid cartilages left in 14 cases and c) 1 arytenoid cartilage left and second was resected with subsequent reconstruction in 1 case. The arytenoid cartilage was reconstructed in 19 cases (8 after CHP and 11 after CHEP). The vascularized thyroid lobe was used to the reconstruction of arytenoid cartilage in 8 cases (6 after CHP and 2 after CHEP), cuneiform or corniculate cartilage was used in 4 patients (1 CHP and 3 CHEP) and mucous membrane in 7 cases (1 CHP and 6 CHEP).
Socially efficient speech was found in 74% patients and the results were better after CHEP.
The phonetic-acoustic structure of voice and resonant speech was considerably different from the phonetic-acoustic structure of voice and speech under physiologic conditions. These differences applied to segmental (formant structure, frequencies, noise range), as well as suprasegmental voice features.
环状软骨上喉切除术联合环舌骨固定术（CHP）和环会厌固定术（CHEP）是功能性喉切除术之一。
本研究旨在对重建喉进行发声评估。材料与方法。研究组包括58例患者（49例男性和9例女性）。平均年龄54岁。32例患者接受了CHP，26例接受了CHEP。CHP的手术方式如下：a）17例保留1块杓状软骨，b）14例保留2块杓状软骨，c）1例保留1块杓状软骨，切除第2块并随后进行重建。19例患者进行了杓状软骨重建（8例在CHP后，11例在CHEP后）。8例患者使用带血管蒂的甲状腺叶重建杓状软骨（6例在CHP后，2例在CHEP后），4例患者使用楔状软骨或小角软骨（1例CHP和3例CHEP），7例患者使用黏膜（1例CHP和6例CHEP）。
74%的患者获得了社交有效的语音，CHEP后的结果更好。
语音的语音声学结构和共鸣语音与生理条件下的语音语音声学结构有很大不同。这些差异适用于音段（共振峰结构、频率、噪声范围）以及超音段语音特征。
