Fukutake T, Yamashita T
Department of Otolaryngology, Kansai Medical University, Osaka, Japan.
Acta Otolaryngol Suppl. 1993;500:117-20. doi: 10.3109/00016489309126193.
Fifty-nine patients underwent tracheoesophageal puncture during laryngectomy, and a voice prosthesis was inserted into the tracheoesophageal fistula to enable alaryngeal speech. For 68% of the 59 patients, tracheoesophageal speech was feasible right after surgery, and postoperative complications occurred in 9 of these 59. The results show that primary tracheoesophageal puncture is advantageous for alaryngeal speech rehabilitation. Eighty-two percent of the 22 patients who survived more than 4 years after surgery continued with tracheoesophageal speech, and 16 complications occurred over a longer term in 13 of the 22 patients. Since 75% of these long-term complications could be overcome by surgical treatment, close observation of the tracheoesophageal fistula and adequate treatment are needed for patients with tracheoesophageal speech and making use of a voice prosthesis.
59例患者在喉切除术中接受了气管食管穿刺，并在气管食管瘘中插入了发音钮以实现无喉语音。在这59例患者中，68%在术后立即实现了气管食管语音，其中9例出现了术后并发症。结果表明，一期气管食管穿刺有利于无喉语音康复。在术后存活超过4年的22例患者中，82%继续采用气管食管语音，22例中的13例在更长时间内出现了16例并发症。由于这些长期并发症中有75%可通过手术治疗克服，因此对于使用发音钮进行气管食管语音的患者，需要密切观察气管食管瘘并进行适当治疗。
