Jacobs A H, Abramson A L
Int J Pediatr Otorhinolaryngol. 1980 Apr;2(1):21-32. doi: 10.1016/0165-5876(80)90025-7.
This case study reports the development of a speech and language therapy program for a preschool boy laryngectomized at age two and three-quarters. Etiology was attributed to the accidental ingestion of lye, which caused severe burns and subsequent damage to both the larynx and esophagus. During the 20-month hospital stay, colon transplantation to the pharynx and laryngectomy were performed and a speech therapy program was initiated. The speech pathologist worked closely with the patient by stimulating his speech and language, developing his articulation skills, and finally providing him with a means of using expressive speech via an electrolarynx designed for him. In addition to the case study, this report reviews the different methods of alaryngeal speech, and suggests the need for further research in developing these methods as viable alternatives for the young laryngectomized child.
本案例研究报告了针对一名两岁九个月行喉切除术的学龄前男孩开展言语和语言治疗项目的情况。病因是意外摄入烧碱,导致严重烧伤以及随后喉和食管受损。在为期20个月的住院期间,进行了结肠移植至咽部和喉切除术,并启动了言语治疗项目。言语病理学家通过刺激患者的言语和语言、培养其发音技巧,并最终通过为其设计的电子喉为他提供一种表达性言语的方式,与患者密切合作。除了该案例研究之外,本报告还回顾了无喉言语的不同方法,并建议有必要进一步研究将这些方法开发为年幼喉切除儿童可行的替代方法。