van den Hoogen F J, Meeuwis C, Oudes M J, Janssen P, Manni J J
Department of ORL, Head and Neck Surgery, University Hospital Nijmegen, The Netherlands.
Eur Arch Otorhinolaryngol. 1996;253(3):126-9. doi: 10.1007/BF00615108.
Prosthesis-assisted tracheo-esophageal speech has proven its value in post-laryngectomy voice rehabilitation, although manual occlusion of the tracheostoma during speech is necessary. In contrast a tracheostoma valve enables hands-free speech. We have now had experience with 30 patients using the Blom-Singer tracheostoma valve for more than 6 months and have found that most patients prefer prosthesis-assisted speech with the tracheostoma valve. Measurement of several speech parameters with digital and valve occlusion of the tracheostoma did not show any significant differences between the two speaking conditions. Problems included maintenance of an airtight seal, outward forcing of the valve diaphragm during forced expiration and subjective increased airflow resistance.
尽管在说话时手动封堵气管造口是必要的，但假体辅助的气管食管发音已在喉切除术后的语音康复中证明了其价值。相比之下，气管造口瓣膜可实现免手持发音。我们现在已有30例患者使用Blom-Singer气管造口瓣膜超过6个月的经验，并且发现大多数患者更喜欢使用气管造口瓣膜进行假体辅助发音。通过数字封堵和瓣膜封堵气管造口对几个语音参数进行测量，结果显示两种发音条件之间没有任何显著差异。问题包括保持气密密封、用力呼气时瓣膜隔膜向外突出以及主观感觉气流阻力增加。
