Medina J E, Nance A, Burns L, Overton R
Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City 73126.
Am J Surg. 1987 Oct;154(4):407-10. doi: 10.1016/0002-9610(89)90013-5.
We have presented a series of 10 patients who were successfully rehabilitated using the tracheoesophageal puncture technique for voice restoration. These patients underwent total laryngopharyngectomy or laryngopharyngoesophagectomy and reconstruction with visceral transposition (five patients), myocutaneous flaps (four patients), and skin graft and cervical flaps (one patient). All patients were able to produce adequate voice and carry on a conversation. Clinical evaluation of voice quality and acoustic analysis of voice samples indicate that the voice obtained in these patients was intelligible, and had adequate intensity, low pitch, and limited pitch variation. There were no complications related to the voice restoration procedure. It appears from our data and the limited experience reported in the literature that the tracheoesophageal prosthesis can be used successfully and safely for the speech rehabilitation of patients who undergo total laryngopharyngectomy, cervical esophagectomy, or both, regardless of the reconstructive method used.
我们报告了一组10例患者，他们通过气管食管穿刺技术成功恢复了嗓音。这些患者均接受了全喉咽切除术或喉咽食管切除术，并采用了脏器转位术（5例）、肌皮瓣修复术（4例）以及皮肤移植和颈部皮瓣修复术（1例）进行重建。所有患者均能发出足够清晰的声音并进行对话。对嗓音质量的临床评估和嗓音样本的声学分析表明，这些患者获得的嗓音清晰可懂，强度适中，音调较低且音调变化有限。未出现与嗓音恢复手术相关的并发症。从我们的数据以及文献中报道的有限经验来看，无论采用何种重建方法，气管食管假体都能够成功且安全地用于接受全喉咽切除术、颈部食管切除术或两者皆有的患者的言语康复。
