ISSN:0148-6403    

DOI:10.1002/hed.2890100802

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractA series of working group discussions were held during the recent Second International Head and Neck Oncology Research Conference. The purpose of these discussions was to define clinical and basic research priorities in the areas of chemotherapy, tumor immunology, tumor model development, flow cytometry, etiology, and virology. The results of these discussions are summarized and condensed in this report. The recommendations of the various Working Groups indicate that intensive basic research efforts in head and neck oncology need to be expanded, particularly in the areas of tumor model development, cell biology, and immunology. These specific Working Group recommendations should serve as a resource for research program development at the local and national levels.

ISSN:0148-6403    

DOI:10.1002/hed.2890100803

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractIn spite of more than a century of research on voice rehabilitation for the laryngectomee, effective options remain limited. Although voice preservation is generally preferable to substitution and esophageal speech is functionally useful for a small percentage of patients, artificial devices are often necessary. The extracervical electrolarynx and the tracheoesophageal puncture have been useful, and the artificial larynx implant appears to hold considerable promise for selected patients in the future. Today, as in the past, no single approach suits all patients.

ISSN:0148-6403    

DOI:10.1002/hed.2890100804

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThis paper reports the present state of speech rehabilitation after total laryngectomy. The tracheal esophageal puncture (TEP) method has become the surgical treatment of choice for aphonia after total laryngectomy. The TEP method has been found to give higher speech acquisition rates and improved intelligibility over nonsurgical methods. TEP is being performed as a primary and secondary procedure with acceptable complication rates. As the prosthesis improves, the inherent disadvantages of a prosthetic method are being overcome. Long‐term follow‐up is still lacking to determine the permanent role of TEP in speech rehabilitat

ISSN:0148-6403    

DOI:10.1002/hed.2890100805

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThis article discusses negative and positive predictors for acquiring esophageal speech. These indicators are grouped under two broad categories: anatomic/physiologic and psychological/social. The success and failure rates and advantages and disadvantages of esophageal speech are also presented. Consideration of all factors will enable professionals to counsel patients realistically about their potential for successful acquisition of this method of alaryngeal speech.

ISSN:0148-6403    

DOI:10.1002/hed.2890100806

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThis article examines the problems in assessing the proliferation of devices that have emerged internationally in the field of post‐laryngectomy voice restoration. Success or failure of the procedure will certainly depend on the subjects chosen and the device(s) used. The selection of potential subjects may be greatly improved by using the classification we have evolved from analyzing videofluoroscopic studies of over 200 laryngectomees. This classification is currently being validated by undertaking pressure and acoustic measures in existing laryngectomized subjects. These results are discussed in the tex

ISSN:0148-6403    

DOI:10.1002/hed.2890100807

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThe developments of tracheoesophageal puncture and voice prosthesis for alaryngeal speech rehabilitation directed attention to the anatomy and physiology of the pharyngoesophageal segment. A reproducible tracheoesophageal shunt in a large number of patients permitted the largest study population for alaryngeal speech acquisition to date. The sustained tracheoesophageal airflow led to important observations on speech acquisition after laryngectomy. Surgical techniques to reduce the tension in the pharyngoesophageal segment have evolved and include pharyngeal constrictor myotomies or pharyngeal plexus neurectomies. These adjunctive procedures to total laryngectomy are key aspects for consistent and effective voice acquisition after laryngectomy.

ISSN:0148-6403    

DOI:10.1002/hed.2890100808

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractExperiences with tracheoesophageal puncture are presented that confirm the beneficial experience of others in providing a superior means of voice rehabilitation. As with all surgical procedures, there is a short‐term and long‐term price to pay in terms of complications. The complications include allergy to tape, esophageal perforation, enlarging fistula, stomal stenosis, fistula migration, cellulitis, esophageal stenosis, pneumonia, and death from aspiration pneumonia. Careful selection of patients lessens the chances for complications and failure. Simultaneous laryngectomy and creation of a speaking fistula have been abandoned because of long‐term, serious healing problems. In spite of the complications encountered, the authors feel that the tracheoesophageal voice fistula provides a superior means for vocal rehabilitation in total laryngectomy patients who do not develop esophageal s

ISSN:0148-6403    

DOI:10.1002/hed.2890100809

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

ISSN:0148-6403    

DOI:10.1002/hed.2890100810

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractA retrospective census of 106 cases with tracheoesophageal puncture (TEP) compared success and complications in speech restoration between TEP coincidental with or subsequent to la‐ryngectomy. The complications of those patients with primary TEP (68) were largely the effects of cancer and its treatment. When controlling for recurrent disease and patients still in speech therapy, approximately 90% of both groups achieved surgically restored speech. With this parity in TE speech success and occurrences of complications, puncture at the time of the laryngectomy appears to be an effective, expeditious procedure for vocal rehabilitatio

ISSN:0148-6403    

DOI:10.1002/hed.2890100811

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY