Manni J J, van den Hoogen F J, Oudes M
Universitäts-HNO-Klinik Nijmegen, Niederlande.
HNO. 1994 Jun;42(6):358-61.
The tracheoesophageal puncture technique with insertion of a valved prosthesis for speech rehabilitation after total laryngectomy is a reliable and simple procedure for successful vocal rehabilitation. The available voice prosthesis can be separated into indwelling and non-indwelling types. The details of the indwelling long-term prostheses (low-pressure Groningen Prosthesis, Nijdam, prosthesis, Provox prosthesis) are discussed. These prostheses need limited patient care. Replacement of the indwelling prosthesis is a simple out-patient procedure, although it is best performed by an ENT-specialist. The local complication rate is low and generally not significant. Hand-free speech is now possible by placement of a tracheostoma valve. Current experiences are encouraging for continued use.
全喉切除术后采用带瓣假体植入的气管食管穿刺技术进行言语康复是一种可靠且简单的成功恢复发声的方法。现有的语音假体可分为留置型和非留置型。本文讨论了留置型长期假体（低压格罗宁根假体、尼丹假体、普罗沃克斯假体）的详细情况。这些假体所需的患者护理有限。更换留置型假体是一个简单的门诊手术，不过最好由耳鼻喉科专家进行操作。局部并发症发生率较低，通常不严重。通过放置气管造口瓣膜现在可以实现免手持说话。目前的经验对于继续使用该技术很有鼓舞作用。
