Blitzer A, Komisar A, Baredes S, Brin M F, Stewart C
New York Center for Voice and Swallowing Disorders, Department of Otolaryngology, New York, New York, USA.
Otolaryngol Head Neck Surg. 1995 Dec;113(6):668-70. doi: 10.1016/S0194-59989570002-1.
Primary or secondary tracheoesophageal puncture with a speaking prosthesis has provided rehabilitation of speech in most patients after total laryngectomy. Persistent constrictor spasm is thought to be responsible for a small percentage of these patients' inability to speak with the prosthesis. Management of these patients has included bougienage and pharyngeal myotomy and/or pharyngeal neurectomy. Botulinum toxin injections of the cricopharyngeus muscle complex in six patients have been successfully used diagnostically and therapeutically for tracheoesophageal puncture failures. The assessment, technique, and results are discussed.
一期或二期气管食管穿刺并安装发音假体已使大多数全喉切除术后的患者恢复了言语功能。持续性咽缩肌痉挛被认为是导致一小部分患者无法使用假体说话的原因。对这些患者的处理措施包括探条扩张术、咽肌切开术和/或咽神经切除术。对6例患者的环咽肌复合体注射肉毒杆菌毒素已成功用于气管食管穿刺失败的诊断和治疗。本文讨论了评估方法、技术及结果。
