Author/Editor		Fajdiga, Igor; Žargi, Miha
Title		Govorna rehabilitacija laringektomiranih bolnikov z govornimi protezami na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo v Ljubljani
Translated title		Speech rehabilitation of laryngectomees with voice prostheses at the Clinic for otorhinolaryngology and cervicofacial surgery in Ljubljana
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. Suppl 6
Publication year		1996
Volume		str. 133-8
Language		slo
Abstract		Tracheosophageal voice prostheses enable phonation after laryngectomy. At The Clinic for Otorhinolaryngology and Cervicofacial Surgery in Ljubljana we have used them since 1993 for patients unable to acquire esophageal speech. The speech of 30 patients with inserted voice prostheses was evaluated. The success rate, the quality of voice and speech and the complications associated with insertion and use of the prostheses were judged. The average patient observation time was 17,4 months. We compared the tracheoesophageal phonation of the first 20 patients with esophageal phonation of 23 laryngectomees. Twenty-seven (90 %) of 30 patients were able to speak with voice prosthesis. The quality of the voicewas superior and the speech was equal to esophagel voice and speech, respectively. The complications were not numerous and they never threatened the patient's health or life. Voice prostheses restore the voice and speech successfully so they should be offered to patients who are unable to acquire esophageal phonation.
Summary		Traheoezofagalne govorne proteze omogočajo povrnitev glasu po laringektomiji. Na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo jih od maja leta 1993 uporabljamo pri bolnikih, ki se ezofagalnega govora niso naučili. Predstavljamo izkušnje z njihovo uporabo. V pregledni študiji smo pri 30 bolnikih opazovali, koliko jih je spregovorilo, kakovost njihovega traheoezofagalnega glasu in govora ter zaplete, ki so se pokazali pri vstavitvi in pri kasnejši uporabi traheoezofalne govorne proteze. Povprečen čas opazovanja posameznega bolnika je bil 17,4 mesecev (od 1 do 37 mesecev, stardna deviacija 11,47 mesecev). Traheoezofagalni glas in govor prvih 20 bolnikov s vstavljenimi traheoezofagalnimi govornimi protezami smo primerjali z ezofagalnim govorom kontrolne skupine triindvajsetih laringektomiranih. S traheoezofagalnimi govornimi protezmi je spregovorilo 27 (90 %) od 30 laringektomiranih bolnikov. V primerjavi z ezofagalnim glasom je glas, ki ga omogočajo traheoezofagalne govorne proteze bolj kakovosten, govor pa enakovreden. Zapleti, ki so se pokazali, niso bili številni in nikdar niso ogrozili zdravja ali življenja bolnikov. Traheoezofagalne govorne proteze omogočajo uspešno in varno povrnitev glasu in govora po laringektomiji.
Descriptors		LARYNGECTOMY SPEECH THERAPY SPEECH, ALARYNGEAL LARYNX, ARTIFICIAL VOICE QUALITY