Calearo C V, Caroggio A
Ann Otol Rhinol Laryngol. 1981 May-Jun;90(3 Pt 1):217-21. doi: 10.1177/000348948109000304.
Our experience with the so-called "neoglottis" (according to Staffieri) after total laryngectomy is presented. The technique, described in detail, aims at giving the patient good speech by creating a tracheoesophageal fistula through which air passes. In the period from 1973-1979, 63 patients underwent the procedure. The functional results were satisfactory in 68% of the cases. The patient's voice is much more agreeable than the esophageal voice and sounds louder and less monotonous than a laryngophone voice. The spectrographic analyses confirm its resemblance to natural voice. An occasional passage of liquids into the trachea may occur, but is not prejudicial to either speech or swallowing. Some dysfunctional problems may arise early or late after the operation: they are continuous aspiration during swallowing and lack of phonatory function. In most cases, these problems are due to incorrect surgical technique; the possibilities and procedures of correction are described. In conclusion, we maintain that the "neoglottis" which may be applied to nearly all cases of total laryngectomy, represents a worthwhile "phonatory" innovation in the field of mutilating surgery of laryngeal cancer.
本文介绍了我们在全喉切除术后使用所谓“新声门”（根据斯塔菲耶里的说法）的经验。详细描述的技术旨在通过创建一个让空气通过的气管食管瘘，使患者获得良好的语音。在1973年至1979年期间，63例患者接受了该手术。68%的病例功能结果令人满意。患者的声音比食管语音更悦耳，比电子喉语音更大声且不那么单调。频谱分析证实其与自然语音相似。偶尔可能会有液体进入气管，但这对语音或吞咽均无损害。术后早期或晚期可能会出现一些功能障碍问题：吞咽时持续误吸和发声功能缺失。在大多数情况下，这些问题是由于手术技术不正确所致；文中描述了纠正的可能性和方法。总之，我们认为“新声门”几乎可应用于所有全喉切除病例，是喉癌毁损性手术领域一项有价值的“发声”创新。
