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喉切除术后用于嗓音康复的功能性气管食管分流术。

Functional tracheoesophageal shunt for vocal rehabilitation after laryngectomy.

作者信息

Li S L

出版信息

Laryngoscope. 1985 Oct;95(10):1267-71. doi: 10.1288/00005537-198510000-00024.

DOI:10.1288/00005537-198510000-00024
PMID:4046716
Abstract

A new one-stage surgical technique for postlaryngectomy vocal rehabilitation was applied to 19 patients with advanced carcinoma of the larynx. The technique consists mainly of the construction of a tracheoesophageal shunt and the creation of a tracheoesophageal flap to cover the shunt preventing entry of food into the trachea. Fifteen of the 19 patients developed useful speech. Slight leakage of liquids into the trachea occurred in four patients. This is avoided by having the patient bend his head down during deglutition. This technique can be performed in a wide variety of clinical situations and restores effortless speech without any special training.

摘要

一种用于喉切除术后嗓音康复的新型一期手术技术应用于19例晚期喉癌患者。该技术主要包括构建气管食管分流道以及制作气管食管瓣以覆盖分流道,防止食物进入气管。19例患者中有15例恢复了有效的言语功能。4例患者出现液体轻微漏入气管的情况。患者在吞咽时低头可避免这种情况。该技术可在多种临床情况下实施,无需任何特殊训练即可恢复轻松的言语功能。

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