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1980年,Blom和Singer报道,通过内窥镜为喉切除的患者安放了一个人工装置,恢复了语音。其方法是:在气管造口后壁和食管之间用14号针头穿孔,使此孔能容下14F导尿管,然后插入他们设计的人工装置。肺气可通过此孔进入食管。这就产生了气-食管发音,并能阻止食物和液体进入气管。作者们随后为喉切除后患者安放了人工装置,恢复了语音,并强调了手术医生、护士和语言学家之间的密切合作。具体步骤如下:(1)喉切除前向患者讲明:术后发音方法有三种,——人工喉,食管发音和气食管发音。(2)喉切除后2~7天借助人工喉进行语言训练。
In 1980, Blom and Singer reported that a human device laryngectomied through the endoscope placed an artificial device that restored the voice. The procedure is to perforate the 14-gauge needle between the posterior wall of the tracheostomy and the esophagus so that the hole can accommodate the 14F catheter and then insert the prosthetic device they designed. Lung gas can enter the esophagus through this hole. This creates a gas-esophageal tone and prevents food and liquids from entering the trachea. The authors then placed artificial devices on patients after laryngectomy, restored the speech, and emphasized the close cooperation between surgeons, nurses and linguists. Specific steps are as follows: (1) before the laryngectomy to the patient: There are three methods of postoperative pronunciation - artificial throat, esophageal voice and the voice of the esophagus. (2) 2 to 7 days after laryngectomy using artificial throat language training.