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全喉切除后的发音方法基本上有两大类。(一)非手术方法:(1)人工喉:气性人工喉,发音为金属声;电子人工喉,发音单调而无抑扬。(2)食道音:仅能发出声音低粗、简而短的语言。(二)手术方法:(1)瘘管语言较好,但瘘管不易保持通畅,且常有漏液和漏食的麻烦。(2)喉移植术,在理论上比较理想,但目前仍然存在一些复杂而困难的问题,尚待解决。(3)Arslan 的喉再造术是现代最好的方法,能够使病人的呼吸、吞咽和发音功能接近正常。相信,经过进一步研究和实践,可更加完善。全喉切除后,发音功能丧失,造成工作和生活的困难,使病人产生顾虑。虽然远在第一例全喉切除之前,已有人注意到这个问题,但在全喉切除的早期,仍以彻底地切除肿瘤;挽救病人生命为主。由于手术效果的改善,发音问题亦渐受到重视,并有了一些重要的进展。目前,全喉切除后,恢复发音的方法,基本上分两大类:
There are basically two major types of pronunciation methods after total laryngectomy. (A) Non-surgical methods: (1) Artificial throat: artificial artificial larynx, pronounced as metallic sound; electronic artificial larynx, monotonous and non-adjustable. (2) Gastrointestinal sounds: Only sounds that are short, rough and short are produced. (B) surgical methods: (1) fistula language is better, but the fistula is not easy to maintain smooth, and often leakage and leakage of food trouble. (2) Laryngeal transplantation is ideal in theory, but there are still some complex and difficult problems that remain to be solved. (3) Arslan’s Laryngeal Reconstructive Surgery is the best method in modern times, which can make the patient’s breathing, swallowing and pronunciation functions close to normal. I believe that after further research and practice, it can be more perfect. After total laryngectomy, the pronunciation function is lost, causing difficulties in work and life, causing the patient to have concerns. Although far from the first case of total laryngectomy, this problem has been noticed, but in the early stages of total laryngectomy, the tumor is still completely removed; the life of the patient is mainly saved. As a result of the improvement in surgical outcomes, pronunciation issues have become increasingly important and some important advances have been made. Currently, the method of restoring pronunciation after total laryngectomy is basically divided into two categories: