Musialik Wojciech, Markowski Jarosław, Dziubdziela Włodzimierz, Likus Wirginia, Swiderek-Kliszewska Monika, Paluch Jarosław
Cyberbiomed Sp. z o.o. Poland.
Otolaryngol Pol. 2012 Sep-Oct;66(5):342-7. doi: 10.1016/j.otpol.2012.06.014. Epub 2012 Jun 23.
Oesophageal speech were described for the first time by Gutzmann in 1909. The diagnostic method based upon checking the pressure causing opening of oesophagus mouth was developed by Seeman and Van Den Bergh. In the initial stage, the method was meant to determine the level, to which the patient can master oesophageal speech. In the course of further investigations, an additional element of diagnostics was noted, which enabled early detection of recurrence of the neoplastic process in the oesopagus mouth area.
The material includes 96 patients treated in 2008-2010 at the Department of Otolaryngology, Medical University in Katowice. All patients were classified on the basis of CT of the larynx and the result of histopathological examination to the total laryngectomy. All the patients were subjected to examination by device to visualize the process of opening pressure of the sphincter of the esophagus paragraph.
During two years of observation in 28 cases (29%), oesophageal pressure was open his mouth more than 80 mmHg. When performed CT of the neck and histopathology examination recurrence of laryngeal cancer was confirmed in 23 cases (82%).
This device is used to determine the best method of voice and speech rehabilitation in patients after total laryngectomy and early diagnosis of laryngeal and/or hypopharynx cancer recurrence.
1909年古茨曼首次描述了食管言语。基于检查导致食管口张开的压力的诊断方法由泽曼和范登伯格开发。在初始阶段，该方法旨在确定患者能够掌握食管言语的程度。在进一步研究过程中，注意到了诊断的一个额外要素，这使得能够早期检测食管口区域肿瘤过程的复发。
材料包括2008 - 2010年在卡托维兹医科大学耳鼻喉科接受治疗的96例患者。所有患者均根据喉部CT和组织病理学检查结果被分类为全喉切除术患者。所有患者均接受了用于观察食管段括约肌张开压力过程的设备检查。
在两年的观察期内，28例（29%）患者的食管压力使食管口张开超过80 mmHg。在进行颈部CT和组织病理学检查时，23例（82%）患者被确诊为喉癌复发。
该设备用于确定全喉切除术后患者语音和言语康复的最佳方法以及早期诊断喉和/或下咽癌复发。
