Böhme G, Clasen B
HNO-Klinik und Poliklinik, Klinikum rechts der Isar, Technischen Universität München.
HNO. 1989 Sep;37(9):358-64.
We carried out a transnasal insufflation test according to Blom and Singer on 27 laryngectomy patients as well as a speech communications test with the help of reverse speech audiometry, i.e. the post laryngectomy telephone test according to Zenner and Pfrang. The combined evaluation of both tests provided basic information on the quality of the esophagus voice and functionability of the speech organs. Both tests can be carried out quickly and easily and allow a differentiated statement to be made on the application possibilities of a esophagus voice, electronic speech aids and voice prothesis. Three groups could be identified from our results: 1. Insufflation test and reverse speech test provided conformable good or very good results. The esophagus voice was well understood. 2. Complete failure in the insufflation and telephone tests calls for further examinations to exclude any spasm, stricture, divertical and scarred membrane stenosis as well as tumor relapse in the region of the pharyngo-esophageal segments. 3. Organic causes must be looked for in the area of the nozzle as well as cranial nerve failure and social-determined causes in the case of normal insufflation and considerably reduced speech communication in the telephone test.
我们对27例喉切除患者按照布洛姆和辛格的方法进行了经鼻吹气试验，并借助反向言语听力测定法，即按照曾纳和普法朗的喉切除术后电话测试法，进行了言语交流测试。两项测试的综合评估为食管发音质量和言语器官功能提供了基本信息。两项测试都能快速、轻松地进行，并能对食管发音、电子言语辅助装置和语音假体的应用可能性做出差异化判断。从我们的结果中可以区分出三组：1. 吹气试验和反向言语测试结果一致良好或非常好。食管发音易于理解。2. 吹气试验和电话测试完全失败需要进一步检查，以排除任何痉挛、狭窄、憩室和瘢痕性膜狭窄以及咽食管段区域的肿瘤复发。3. 在吹气正常但电话测试中言语交流明显减少的情况下，必须在喷嘴区域寻找器质性原因以及颅神经功能障碍和社会决定因素。
