Maniglia A J, Leder S B, Goodwin W J, Sawyer R, Sasaki C T
Department of Otolaryngology-Head and Neck Surgery, Case Western Reserve University, Cleveland Ohio 44106.
Head Neck. 1989 Nov-Dec;11(6):524-7. doi: 10.1002/hed.2880110609.
Speech rehabilitation postpharyngolaryngoesophagectomy has not received significant emphasis. We describe our experience with five patients who underwent a delayed tracheogastric puncture (TGP) after pharyngogastric anastomosis. When compared to patients who had undergone tracheoesophageal puncture (TEP) after laryngectomy, speech intelligibility and fluency were adequate for conversational speech, but voice quality was characterized by lower pitch, reduced intensity, slower rate, and a "wet" quality. There were no complications related to the TGP. TGP is a safe and often useful procedure for voice and speech restoration in patients who have undergone total pharyngolaryngoesophagectomy and pharyngogastric anastomosis.
下咽食管切除术后的言语康复尚未得到足够重视。我们描述了5例患者在咽胃吻合术后接受延迟气管胃穿刺（TGP）的经验。与喉切除术后接受气管食管穿刺（TEP）的患者相比，言语清晰度和流畅度足以进行对话，但语音质量的特点是音调较低、强度降低、语速较慢以及带有“湿”音。未发生与TGP相关的并发症。对于接受全下咽食管切除和咽胃吻合术的患者，TGP是一种安全且常用的恢复语音和言语的手术。
