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气管食管瘘和假体喉切除患者的言语康复

Speech rehabilitation in laryngectomees with tracheo-oesophageal fistulas and prostheses.

作者信息

Hall J G, Dahl T, Arnesen A R

机构信息

ENT Department, Ullevaal Hospital, Oslo University.

出版信息

Acta Otolaryngol Suppl. 1988;449:119-21. doi: 10.3109/00016488809106392.

DOI:10.3109/00016488809106392
PMID:3201934
Abstract

The Staffieri technique was used in 24 patients, but abandoned due to aspiration. The Blom-Singer or other prostheses were used in 40 cases, 50% achieved fluent speech, 15% spoke partially and 35% were not able to use the prostheses at all. Some complications are always met with in these cases: Dysphagia, leakage around the prostheses and difficulties with the function of the prostheses. The selection of suitable cases is important. Their cooperation and motivation must be ensured preoperatively, and in many cases like those living under poor social conditions or in older patients, this procedure should not be tried.

摘要

斯塔菲耶里技术应用于24例患者,但因误吸而被放弃。40例患者使用了布洛姆-辛格或其他假体,50%患者实现了流利说话,15%患者部分能够说话,35%患者根本无法使用假体。这些病例总会出现一些并发症:吞咽困难、假体周围渗漏以及假体功能障碍。选择合适的病例很重要。术前必须确保患者的配合和积极性,在许多如社会条件差的患者或老年患者的情况下,不应尝试此手术。

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