Donegan J O, Gluckman J L, Singh J
Ann Otol Rhinol Laryngol. 1981 Sep-Oct;90(5 Pt 1):495-7. doi: 10.1177/000348948109000517.
The loss of voice following total laryngectomy is a severe blow to a patient's functional and psychological well-being. Since the first laryngectomy numerous attempts at voice restoration have been attempted with only limited success. The tracheoesophageal puncture with insertion of the Blom-Singer valve is a major development in neoglottic reconstruction. Initial reports on the use of this technique have been very encouraging. Our initial experience has not been entirely satisfactory. The difficulties encountered include: 1) inability to manage the prosthesis in the home setting; 2) anatomical problems; 3) inability to produce fluent speech. While it is our impression that this new technique is the simplest and most effective method of voice restoration, it is not appropriate for all laryngectomies. Great care should be exercised in patient selection, and this may eliminate many of the difficulties encountered.
全喉切除术后失声对患者的功能和心理健康是一个沉重打击。自首次开展喉切除术以来，人们多次尝试恢复发声，但仅取得了有限的成功。气管食管穿刺并插入Blom-Singer瓣膜是新声门重建的一项重大进展。关于这项技术应用的初步报告非常令人鼓舞。我们的初步经验并非完全令人满意。遇到的困难包括：1）在家中无法处理假体；2）解剖学问题；3）无法产生流畅的语音。虽然我们认为这项新技术是恢复发声最简单、最有效的方法，但它并不适用于所有喉切除术患者。在患者选择时应格外谨慎，这可能会消除许多遇到的困难。
