Avtor/Urednik		Fajdiga, Igor; Hočevar-Boltežar, Irena; Šereg-Bahar, Maja; Žargi, Miha; Miklavčič, Tanja
Naslov		Zapleti pri traheoezofagealnem govoru in njihov vpliv na izbiro govorne rehabilitacije laringektomiranih bolnikov
Prevedeni naslov		Complications associated with speech prostheses and their influence on the choice of alarynegal communication
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 43, št. Suppl 3
Leto izdaje		2004
Obseg		str. 279-82
Jezik		slo
Abstrakt		Esophageal and tracheoesophageal speech are the generally accepted types of voice communication following laryngectomy. The complications associated with tracheoesophageal speech are important for choosing between the two methods. In order to evaluate their importance, complications developing in 23 patients who had had their voice prostheses secondarily fitted at the University Department of Otorhinolaryngology and Cervicofacial Surgery, Ljubljana, Slovenia, were retrospectively identified. The complications we found were not life or health threatening. Their management was simple and effective. In almost all cases, outpatient replacement of the voice prosthesis was sufficient for treatment. As voice prostheses are more effective and provide better speech compared to esophageal speech, they should be offered as the primary choice. The accompanying complications should not be considered contraindications.
Izvleček		Ezofagealni in traheoezofagealni govor sta uveljavljena načina povrnitve govora po odstranitvi grla zaradi maligne bolezni. Za izbiro med njima so pomembni tudi zapleti, ki spremljajo traheoezofagalni govor. Da bi ovrednotili pomen zapletov, smo jih retrogradno ugotovili pri 23 bolnikih, ki smo jim sekundarno vstavili govorno protezo na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo v Ljubljani. Ugotovljeni zapleti niso ogrožali zdravja ali življenja bolnikov. Njihovo zdravljenje je nezahtevno, skoraj vedno je bila potrebna menjava govorne proteze, največkrat ambulantna. Glede na to, da traheoezofagealni govor hitreje in uspešneje povrne govor kot ezofagealni, bi moral biti prva izbira. Zapleti, ki ga spremljajo, ne predstavljajo zadržka.
Deskriptorji		LARYNGECTOMY SPEECH, ALARYNGEAL SPEECH, ESOPHAGEAL LARYNX, ARTIFICIAL