Koscielny Sven
E.N.T. Department of the Friedrich Schiller University, Jena, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2005;4:Doc16. Epub 2005 Oct 28.
Surgical voice restoration with a tracheo-oesophageal fistula using an alloplastic voice prosthesis is the current standard in Germany for patients with laryngectomy. With the increasing widespread use of this type of rehabilitation new duties emerge, not only for ones colleagues in the hospital but also for those in general practice. Care of these patients close to their home must be the aim of us all. With the use of voice prostheses on the increase any problems arising for the clinician are few and easily treatable; for these a therapy concept should be borne in mind. Surgical voice restoration is indicated only in individual cases due, among other reasons, to the high operational costs involved. If surgical voice restoration is impossible or unsuccessful, oesophageal voice replacement and electronic voice support are realistic alternatives. Improvements can be expected as regards the durability of voice prostheses, methods of replacing them, and speech procedure with finger-free tracheostomy closure. Greater use of the artificial larynx without tracheostomy is the objective for the distant future.
在德国，对于喉切除患者，使用异体语音假体通过气管食管瘘进行手术语音恢复是目前的标准治疗方法。随着这种康复方式的日益广泛应用，不仅给医院的同事带来了新的职责，也给全科医生带来了新的职责。我们所有人的目标都应该是在患者家附近对他们进行护理。随着语音假体的使用增加，临床医生遇到的问题很少且易于治疗；对此应牢记一个治疗理念。手术语音恢复仅在个别情况下适用，原因之一是其涉及高昂的手术成本。如果手术语音恢复无法进行或不成功，食管语音替代和电子语音支持是现实的替代方案。在语音假体的耐用性、更换方法以及无手指气管造口闭合的语音程序方面有望取得改进。在遥远的未来，目标是更多地使用无需气管造口的人工喉。
