喉頭摘出後の音声再建 ボイスプロステーシスを用いる方法

熊澤 博文; 蔦 佳尚; 吉永 和仁; 百渓 明代; 立川 拓也; 大西 純夫; 辻 裕之; 福武 知重; 山下 敏夫

doi:10.5426/larynx1989.10.2_85

Voice Restoration Undergoing Laryngectomy

A Method of Voice Prosthesis

Hirobumi Kumazawa, Yoshinao Tsuta, Kazuhito Yoshinaga, Akiyo Momodani, Takuya Tachikawa, Sumio Onishi, Hiroyuki Tsuji, Tomoshige Fukutake, Toshio Yamashita

Author information

Hirobumi Kumazawa
Department of Otolaryngology, Kansai Medical University, Osaka
Yoshinao Tsuta
Department of Otolaryngology, Kansai Medical University, Osaka
Kazuhito Yoshinaga
Department of Otolaryngology, Kansai Medical University, Osaka
Akiyo Momodani
Department of Otolaryngology, Kansai Medical University, Osaka
Takuya Tachikawa
Department of Otolaryngology, Kansai Medical University, Osaka
Sumio Onishi
Department of Otolaryngology, Kansai Medical University, Osaka
Hiroyuki Tsuji
Department of Otolaryngology, Kansai Medical University, Osaka
Tomoshige Fukutake
Department of Otolaryngology, Kansai Medical University, Osaka
Toshio Yamashita
Department of Otolaryngology, Kansai Medical University, Osaka

JOURNAL FREE ACCESS

1998 Volume 10 Issue 2 Pages 85-88

DOI https://doi.org/10.5426/larynx1989.10.2_85

Details

Abstract

Since the introduction of the tracheoesophageal fistula (TEF) technique for restoration of voice in 1983, voice restoration using primary and secondary tracheoesophageal fistula in 83 patients undergoing laryngectomy and 24 post-laryngectomy patients have been performed. The success rate (good voice, fair voice) of the primary voice restoration with TEF was 73% between 1983 and 1985, 90% between 1986 and 1990, and 86% between 1991 and 1995. The success rate (good voice, fair voice) of the secondary voice restoration with TEF was 71% between 1983 and 1995. Our results suggest that the Blom-Singer TEF procedure is a safe, simple and effective means of alaryngeal communication.

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