Herrmann I F, Koss W
HNO. 1985 Mar;33(3):124-9.
Surgical voice restoration during and after total laryngectomy using Blom-Singer puncture and the glottoplasty techniques provide good results. There is no doubt that the proportion of patients with a good voice is higher after surgical voice restoration than with the use of the esophageal speech or electronic speaking aids. Nevertheless there are problems due to the shunt or the necessary daily changing of the prosthesis with its risks, and failures due to the tracheostomy, the prosthesis and the pharynx. In order to reduce these surgical problems we developed new instruments, a personal surgical procedure for restoration during and after laryngectomy using this set of instruments, a new type of prosthesis and a tracheostoma valve. This technique allows the patient to speak fluently without using his hands, to breathe and to swallow without aspirating.
全喉切除术中及术后使用Blom-Singer穿刺和喉成形术技术进行手术语音恢复，效果良好。毫无疑问，手术语音恢复后嗓音良好的患者比例高于使用食管语音或电子助讲器的患者。然而，由于分流或假体需要每日更换及其风险，以及气管造口术、假体和咽部导致的失败，仍然存在问题。为了减少这些手术问题，我们开发了新器械、一套使用该器械在喉切除术中及术后进行恢复的个性化手术方法、一种新型假体和一种气管造口瓣膜。该技术使患者能够不用手流利地说话、呼吸和吞咽而不发生误吸。
