喉頭全摘出後におけるprosthesisを用いた一期的音声再建法の検討

概要

論文の詳細を見る
Since the introduction of the tracheoesophageal fistula (TEF) technique by Blom and Singer for restoration of voice in 1983 we performed voice restoration using primary tracheoesophageal fistula in 83 patients undergoing laryngectomy. Asuccess rate of the voice restoration with TEF was 79.4% (good voice; 86.6% fair voicer; 10.8%).<BR>Thirty one patients out of 51 patients who have been followed up over 3 yearshad 34 problems with TEF (15granulations of TFF 7 dislodgments of voice prosthesis 4 stenosis of tracheal stoma 5 other reasons.<BR>However most patients could use TEF by appropriate procedures. Our results suggenst that the Blom-Singer TEF procedure is useful method for alaryngeal patients reasons for faster and higher success rate of speech. But early detection and treatment of minor complications are necessary for maintenance of good voice.