喉全切除术后辅助发音管植入专家共识(2024版)  

Expert consensus on voice prosthesis implantation after total laryngectomy (2024 edition)

作　　者：中华耳鼻咽喉头颈外科杂志编辑委员会头颈外科组 中华医学会耳鼻咽喉头颈外科学分会头颈外科学组 中国残疾人康复协会无喉者康复专业委员会 钟琦[2] 陶磊 王剑[4] Subspecialty Group of Head and Neck Surgery,Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery Subspecialty Group of Head and Neck Surgery;Society of Otorhinolaryngology Head and Neck Surgery,Chinese Medical Association Subspecialty Group of Laryngectomees Rehabilitation Professional Committee;China Association of Rehabilitation of Disabled Persons;Zhong Qi;Tao Lei;Wang Jian(不详;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Otolaryngology-HNS,Eye,Ear,Nose,and Throat Hospital,Fudan University School of Medicine,Shanghai 200031,China;Department of Otolaryngology Head and Neck Surgery,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]不详 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [3]复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科,上海200031 [4]中国医学科学院北京协和医院耳鼻喉科,北京100730

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第11期1136-1142,共7页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：喉全切除术后辅助发音管植入是喉全切除术后重新获得言语功能的重要方法, 是在气管和食管之间造瘘, 植入带有单向阀的管状结构, 产生振动发音, 经口腔构音形成语言。本共识面向头颈外科相关医师、肿瘤学医师、嗓音学医师、康复师和护士等人群, 明确喉全切除术后辅助发音管Ⅱ期植入适应证及禁忌证, 规范术前筛查及操作流程, 提示并发症及其处理方法, 指导发音康复及日常护理。帮助无喉者恢复言语交流能力, 回归社会生活, 提高治疗后生活质量。

关 键 词：发音管 言语功能 肿瘤学 言语交流 头颈外科 构音 专家共识 禁忌证 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]