Williams S E, Scanio T S, Ritterman S I
Audiology/Speech Pathology Service, Department of Veterans Affairs, Bay Pines, FL 33504.
Laryngoscope. 1990 Mar;100(3):290-3. doi: 10.1288/00005537-199003000-00016.
This study examined and compared perceptual characteristics of tracheoesophageal (TE) voice produced using four different prosthetic/occlusion combinations in 15 tracheoesophageal speakers: 1. using the Blom-Singer duckbill prosthesis and digital occlusion of the tracheostoma; 2. using the Blom-Singer duckbill prosthesis and valve occlusion of the tracheostoma; 3. using the Blom-Singer low-pressure prosthesis and digital occlusion of the tracheostoma; and 4. using the Blom-Singer low-pressure prosthesis and valve occlusion of the tracheostoma. Characteristics of speech produced in each condition were also compared to those of 19 normal speakers. Differences in perceptual ratings made by judges who varied in knowledge about laryngectomees were examined. Results revealed a number of speaking parameters that discriminated among normals and the four TE speaking conditions, and that differed according to the judge's expertise level. Clinical implications are emphasized.
本研究对15位气管食管发音者使用四种不同假体/封堵组合产生的气管食管（TE）语音的感知特征进行了检查和比较：1. 使用Blom-Singer鸭嘴形假体并对气管造口进行指压封堵；2. 使用Blom-Singer鸭嘴形假体并对气管造口进行瓣膜封堵；3. 使用Blom-Singer低压假体并对气管造口进行指压封堵；4. 使用Blom-Singer低压假体并对气管造口进行瓣膜封堵。还将每种情况下产生的语音特征与19位正常说话者的语音特征进行了比较。对不同喉切除知识水平的评判者所做的感知评分差异进行了检查。结果揭示了一些能够区分正常人和四种TE发音情况的语音参数，并且这些参数因评判者的专业水平而异。强调了临床意义。
