Schumann K, Laniado K, Majora A
Laryngol Rhinol Otol (Stuttg). 1981 Nov;60(11):579-82.
18 reconstructive laryngectomies were performed from 1970 to 1978. 5 patients were operated according to the method of Arslan/Serafini; 7 patients according to the technique of Staffieri and 6 patients according to the method Lange-Beck. The functional results were evaluated by means of polyphysiography (Holm), stroboscopy, gastrografin swallow and by a detained questionnaire. Functional results were best after the Arslan/Serafini technique. 60% were able to swallow without discomfort, the other patients with only minor problems. Vocal intelligibility was best with this method. The results after the Lang-Beck technique were inferior. 50% were able to swallow without discomfort. Major problems with deglutition were encountered in 30%. Vocal intelligibility was poor. The worst results were seen after the Staffieri technique. The results indicate that reconstructive laryngectomy is by no means a standard procedure. The indication for one of the techniques has to be scrutinized carefully.
1970年至1978年间共进行了18例喉重建手术。5例患者按照阿斯兰/塞拉菲尼法进行手术；7例患者采用斯塔菲耶里技术；6例患者采用朗格 - 贝克法。通过多生理检查（霍尔姆法）、频闪喉镜检查、泛影葡胺吞咽检查以及一份留置问卷对功能结果进行评估。采用阿斯兰/塞拉菲尼技术后的功能结果最佳。60%的患者能够舒适地吞咽，其他患者仅有轻微问题。采用这种方法时语音清晰度最佳。朗 - 贝克技术后的结果较差。50%的患者能够舒适地吞咽。30%的患者存在吞咽方面的主要问题。语音清晰度较差。斯塔菲耶里技术后的结果最差。结果表明喉重建手术绝不是一个标准化的手术。必须仔细审查其中一种技术的适应症。
