Wetmore S J, Krueger K, Wesson K
Laryngoscope. 1981 Jul;91(7):1109-17. doi: 10.1288/00005537-198107000-00008.
Singer and Blom have recently reported a new surgical method for speech rehabilitation of the alaryngeal patient. The method consists of a tracheoesophageal, puncture (TEP) followed 2 to 3 days later by insertion of a silicone "duckbill" prosthesis which acts as a one-way valve allowing pulmonary air to enter and vibrate the esophagus but preventing aspiration. Along with more rapid acquisition of speech, the advantage of tracheoesophageal speech over esophageal speech is the greater volume of air flow through the vibrating segment of the esophagus, which allows smoother and more prolonged speech. Thirteen of our 18 patients (72%) who have undergone TEP are currently using tracheoesophageal speech. The complications associated with this procedure include the TEP tract closing, tracheal mucositis, stenosis of the tracheostoma, aspiration of the prosthesis, esophageal tear, and aspiration from the esophagus. Although we have encountered several problems, we enthusiastically endorse this procedure since it provides oral communication which is comparable to, and in many cases better than, that of the majority of esophageal speakers.
辛格和布洛姆最近报道了一种用于喉切除患者言语康复的新手术方法。该方法包括气管食管穿刺（TEP），2至3天后插入一个硅胶“鸭嘴”假体，该假体起单向阀的作用，允许肺内空气进入并振动食管，但防止误吸。与食管言语相比，气管食管言语的优势在于，除了能更快地学会说话外，通过食管振动段的气流量更大，从而使言语更流畅、更持久。我们18例接受TEP手术的患者中有13例（72%）目前正在使用气管食管言语。与该手术相关的并发症包括TEP通道闭合、气管黏膜炎症、气管造口狭窄、假体误吸、食管撕裂以及食管误吸。尽管我们遇到了一些问题，但我们仍积极支持该手术，因为它能提供与大多数食管言语者相当且在许多情况下更好的口语交流。
