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对于喉切除术后的发声重建,本文介绍了Singer & Blom(1979)提出的一种简易方法,用硅胶活瓣作气管食管发声。其病例选择条件为:①全喉切除术后无并发症;②一般健康状况良好;③乐于接受发声重建手术;④食管扩张试验满意。手术采用全麻。经口向食管内插入一支经过改制的硬管食管镜,即食管镜末端前壁上开一个圆孔。用一根14号针头在距气管造口粘膜皮肤结合缘5mm处戳破气管食管壁,进入食管镜
For laryngectomy vocal reconstruction, this article describes a simple method proposed by Singer & Blom (1979), with silicone valve for tracheal esophageal sound. The case selection conditions: ① total laryngectomy without complications; ② general health is good; ③ willing to accept vocal reconstruction surgery; ④ esophageal dilatation test is satisfactory. Surgery with general anesthesia. Oral esophageal inserted through a restructuring of the rigid esophagus mirror, that is, the front end of the esophageal mirror to open a round hole. With a 14-gauge needle in the tracheal stoma mucosal junction margin 5mm piercing the tracheoesophageal wall into the esophagus mirror