Law Ida K-Y, Ma Estella P-M, Yiu Edwin M-L
Voice Research Laboratory, Division of Speech and Hearing Sciences, University of Hong Kong, 5/F Prince Philip Dental Hospital, 34 Hospital Rd, Hong Kong.
Arch Otolaryngol Head Neck Surg. 2009 Jul;135(7):704-11. doi: 10.1001/archoto.2009.71.
To investigate (1) speech intelligibility and acceptability in using 4 different alaryngeal speech methods: esophageal (ES), electrolaryngeal (EL), pneumatic device (PD), and tracheosophageal (TE) speech; and (2) communication-related quality of life (QOL) in the alaryngeal speakers who used these 4 alaryngeal speech methods.
Survey.
Alaryngeal speakers who had undergone speech rehabilitation and were recruited from the New Voice Club of Hong Kong.
Speech samples collected from 49 alaryngeal speakers were rated by 6 judges for speech intelligibility and acceptability. The speakers also completed a communication-related QOL questionnaire called the Communication Activity and Participation After Laryngectomy.
We found that the ES and EL speakers showed considerably poorer speech intelligibility and communication-related QOL. The PD speakers demonstrated notably better speech intelligibility and acceptability ratings. However, high intelligibility and acceptability do not necessarily mean better QOL. The TE speakers, who demonstrated only the second highest speech intelligibility and acceptability, showed the best functional QOL.
In speech rehabilitation after laryngectomy, QOL and speech intelligibility and acceptability should be considered together to find a balance that is acceptable to the patient.
研究（1）使用4种不同的无喉语音方法（食管语音（ES）、电子喉语音（EL）、气动装置语音（PD）和气管食管语音（TE））时的言语可懂度和可接受性；以及（2）使用这4种无喉语音方法的无喉患者的与沟通相关的生活质量（QOL）。
调查。
从香港新声俱乐部招募的接受过言语康复的无喉患者。
由6名评委对从49名无喉患者收集的语音样本进行言语可懂度和可接受性评分。这些患者还完成了一份名为《喉切除术后沟通活动与参与》的与沟通相关的生活质量问卷。
我们发现，食管语音和电子喉语音使用者的言语可懂度和与沟通相关的生活质量明显较差。气动装置语音使用者的言语可懂度和可接受性评分明显更高。然而，高可懂度和可接受性并不一定意味着更好的生活质量。气管食管语音使用者的言语可懂度和可接受性仅排第二，但功能生活质量最佳。
在喉切除术后的言语康复中，应综合考虑生活质量、言语可懂度和可接受性，以找到患者可接受的平衡。
