Calcaterra T C, Zwitman D H
Calif Med. 1972 Aug;117(2):12-5.
One of the paramount concerns of a patient who must undergo surgical intervention for laryngeal cancer is the effect on his speech. The type of operation is based on the anatomic extent of the cancer, but each procedure presents inherent problems in vocal rehabilitation. Glottic incompetence is the primary deficit to be overcome following hemilaryngectomy, whereas the aspirate voice is the principal problem with supraglottic laryngectomy. When the larynx must be sacrificed by total laryngectomy, the patient attempts to learn esophageal speech. If this fails, a vibrating sound source for speech can be acquired, either by the construction of a trachealpharyngeal communication or by use of a manual electric vibrator.
必须接受喉癌手术干预的患者最关心的问题之一是对其言语的影响。手术类型基于癌症的解剖范围，但每种手术在嗓音康复方面都存在固有问题。声门功能不全是半喉切除术后需要克服的主要缺陷，而误吸性嗓音是声门上喉切除术后的主要问题。当必须通过全喉切除术切除喉部时，患者会尝试学习食管言语。如果失败，可以通过构建气管咽瘘或使用手动电动振动器来获得用于言语的振动声源。
