Ebihara S
Gan To Kagaku Ryoho. 1986 Oct;13(11):3109-13.
Several methods for the restoration of voice after total laryngectomy were discussed. The technique of esophageal voice can restore clear and fluent speech, but often requires the long period of training. Alternate methods include artificial devices, such as the electrolarynx and air bypass devices, and some surgical techniques like the tracheoesophageal fistula formation after the Blom-Singer procedure. Surgical procedures of glottoplasty have also been improved, decreasing the severe complications like aspiration. However no methods relieve patients from the great inconvenience of "closing the tracheostoma with the fingers". Exploration of the better surgical techniques and the more efficient artificial devices is necessary, as well as the effort to decrease the number of total laryngectomy by the early diagnosis.
讨论了全喉切除术后恢复嗓音的几种方法。食管发音技术可以恢复清晰流畅的语音，但通常需要长时间的训练。其他方法包括人工装置，如电子喉和空气旁路装置，以及一些外科技术，如Blom-Singer手术后的气管食管瘘形成。声门成形术的外科手术也有了改进，减少了如误吸等严重并发症。然而，没有任何方法能让患者摆脱“用手指堵住气管造口”带来的极大不便。探索更好的外科技术和更有效的人工装置是必要的，同时努力通过早期诊断减少全喉切除术的数量。
