喉全切除术后发音钮的研制及临床应用115例  

Application of voice prosthesis after total laryngectomy( 115 cases report)

作　　者：高英恺[1] 刘清明[2] 杨丽萍[3] 张凤英[1] 王树勇[1] 陈淑萍[1] 游会增[1] 刘存军[1] 赵延祥[1] 

机构地区：[1]山东中医药大学附属潍坊市中医院耳鼻喉头颈外科 [2]潍坊市人民医院耳鼻喉头颈外科 [3]山东中医药大学附属潍坊市中医院办公室,山东潍坊261041

出　　处：《山东大学耳鼻喉眼学报》2014年第6期50-52,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：探讨喉全切除术后发音钮的研制、安装及临床应用。方法作者自行研制一种用硅胶制成的发音钮。115例喉癌患者喉全切除术后安装了发音钮，一期安装87例，二期安装28例。结果随访0．5～10．0年，能够流利、清晰讲话者105例，成功率91．3％，无明显并发症。结论喉全切除术后发音钮的应用，能让安装患者讲话清楚、流利，保持原来的语言特点。该方法成功率高，操作简便，适应证广。Objective To investigate the application of voice prosthesis in the patients after total laryngectomy. Methods A new voice restoration prosthesis made of silicone was developed.It was installed in 115 cases of laryngeal carcinoma patients after total laryngectomy,including 87 cases of one stage and 28 cases of secondary operation. Results In 0.5-10 years follow-up,105 patients（91.3%）recovered satisfying speaking capability.No complication occurred.Conclusion Newly designed voice prosthesis is a safe,simple,and easy method to restore the speaking capability for the patients with total laryngeactomy.Its highly recommended.

关 键 词：喉切除术 言语 无喉 发音钮 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]