McConnel F M, Duck S W
Laryngoscope. 1986 Oct;96(10):1065-8. doi: 10.1288/00005537-198610000-00004.
Many methods of speech rehabilitation after total laryngectomy have been attempted and abandoned. As experience increased with the tracheoesophageal puncture technique, we found it to be a reliable and reproducible form of speech rehabilitation when certain criteria are met. This study reviews our experience and analyzes the reasons for failure in those populations. Factors analyzed include the evidence of hypopharyngeal stenosis, patient education, XRF, and the flanged prosthesis versus the nonflanged prosthesis. The indications for this type of speech rehabilitation procedure are presented based on our findings.
全喉切除术后尝试了多种言语康复方法，但都被放弃了。随着对气管食管穿刺技术经验的增加，我们发现当满足某些标准时，它是一种可靠且可重复的言语康复形式。本研究回顾了我们的经验，并分析了这些人群中失败的原因。分析的因素包括下咽狭窄的证据、患者教育、X线荧光吞咽造影以及带凸缘假体与不带凸缘假体的对比。基于我们的研究结果，给出了这种言语康复手术的适应症。
