Wetmore S J, Johns M E, Baker S R
Arch Otolaryngol. 1981 Nov;107(11):674-6. doi: 10.1001/archotol.1981.00790470022006.
The Singer-Blom tracheoesophageal puncture (TEP) technique is an effective and safe surgical method for speech rehabilitation of the alaryngeal patient. The silicone prosthesis, which is fitted in the TEP tract, allows pulmonary air to be used for voice production but prevents aspiration. In a series of 63 patients, 56 (89%) were able to develop fluent speech, but only 45 patients (71%) currently use tracheoesophageal speech as their prime mode of communication. Of the 18 patients (29%) who no longer use tracheoesophageal speech, 11 experienced either inadvertent dislodgement of the prosthesis or were noncompliant, five patients failed to develop fluent speech after adequate trial, and two patients failed because of aspiration. Almost all of the successful patients have voice quality and fluency that are as good or better than accomplished esophageal speakers, despite the fact that most of these patients were unable to learn esophageal speech. Since the Singer-Blom technique has eliminated most of the problems associated with other forms of surgical speech rehabilitation, it is considered to be the best surgical technique presently available for restoring speech in the alaryngeal patient.
辛格-布洛姆气管食管穿刺（TEP）技术是一种用于全喉切除患者言语康复的有效且安全的手术方法。安装在TEP通道中的硅胶假体可使肺部空气用于发声，但能防止误吸。在一组63例患者中，56例（89%）能够形成流畅的言语，但目前只有45例患者（71%）将气管食管言语作为主要交流方式。在不再使用气管食管言语的18例患者（29%）中，11例经历了假体意外移位或不配合，5例患者在充分尝试后未能形成流畅的言语，2例患者因误吸而失败。几乎所有成功的患者的语音质量和流畅度都与熟练的食管言语者相当或更好，尽管这些患者中的大多数无法学会食管言语。由于辛格-布洛姆技术已经消除了与其他形式的手术言语康复相关的大多数问题，它被认为是目前可用于全喉切除患者恢复言语的最佳手术技术。
