Panje W R, VanDemark D, McCabe B F
Ann Otol Rhinol Laryngol. 1981 Sep-Oct;90(5 Pt 1):503-5. doi: 10.1177/000348948109000519.
Forty laryngectomy patients in Iowa have received a tracheoesophageal fistula and voice button prosthesis. The fistula was successfully completed in all patients using local anesthesia. Delayed insertion of the voice prosthesis, approximately a month after the fistula is created, appears to be helpful in establishing the respiratory muscle control needed to achieve tracheoesophageal speech. In addition, delayed insertion allows for longer fistula maturation, recognition by the patient that speech is formed by vibrations within the pharyngoesophageal segment, and improved ability to manage the fistula site by proper insertion of the stent. The tracheoesophageal fistula-voice button prosthesis technique has proved to be a relatively simple, uncomplicated, reproducible and inexpensive method of achieving effective speech in a majority of laryngectomy patients.
爱荷华州的40名喉切除患者接受了气管食管瘘和发音钮假体植入。所有患者均在局部麻醉下成功完成了瘘管手术。在造瘘后约一个月延迟植入发音假体，似乎有助于建立实现气管食管发音所需的呼吸肌控制。此外，延迟植入可使瘘管有更长的成熟时间，让患者认识到语音是由咽食管段内的振动形成的，并通过正确插入支架提高对瘘管部位的管理能力。气管食管瘘-发音钮假体技术已被证明是一种相对简单、不复杂、可重复且廉价的方法，能让大多数喉切除患者实现有效的言语交流。
