喉頭全摘出後のボイスプロステーシスによる音声獲得と経過観察
1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔(Tra-cheoesophageal fistula; TEF)を形成した.ボイスプロステーシスを用いた気管食道瘻孔による発声の成績は,発声良好群58例(69.8%),発声可能群9例(10.8%),発声不良群9例(10.8%),装着不能群7例(6.43%)であった.また,3年以上のシヤント発声を継続した51例における合併症について検討すると,TEF周囲の肉芽を認めたものが15件(プロステーシス抜去0件),ボイスプロステーシスの挿入困難が7件(...
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| Published in | 日本耳鼻咽喉科学会会報 Vol. 101; no. 11; pp. 1303 - 1310 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本耳鼻咽喉科学会
1998
日本耳鼻咽喉科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0030-6622 1883-0854 |
| DOI | 10.3950/jibiinkoka.101.11_1303 |
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| Abstract | 1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔(Tra-cheoesophageal fistula; TEF)を形成した.ボイスプロステーシスを用いた気管食道瘻孔による発声の成績は,発声良好群58例(69.8%),発声可能群9例(10.8%),発声不良群9例(10.8%),装着不能群7例(6.43%)であった.また,3年以上のシヤント発声を継続した51例における合併症について検討すると,TEF周囲の肉芽を認めたものが15件(プロステーシス抜去0件),ボイスプロステーシスの挿入困難が7件(プロステーシス抜去1件),気管孔狭窄4件(プロステーシス抜去0件),TEFからの漏出3件(プロスラーシス抜去1件),その他5件であり,51例中31例に34件の合併症を認めた.その合併症のほとんどが救済され,ボイスプロテーシスを用いた気管食道瘻孔による発声の有用性が示唆された. |
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| AbstractList | 1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔(Tra-cheoesophageal fistula; TEF)を形成した.ボイスプロステーシスを用いた気管食道瘻孔による発声の成績は,発声良好群58例(69.8%),発声可能群9例(10.8%),発声不良群9例(10.8%),装着不能群7例(6.43%)であった.また,3年以上のシヤント発声を継続した51例における合併症について検討すると,TEF周囲の肉芽を認めたものが15件(プロステーシス抜去0件),ボイスプロステーシスの挿入困難が7件(プロステーシス抜去1件),気管孔狭窄4件(プロステーシス抜去0件),TEFからの漏出3件(プロスラーシス抜去1件),その他5件であり,51例中31例に34件の合併症を認めた.その合併症のほとんどが救済され,ボイスプロテーシスを用いた気管食道瘻孔による発声の有用性が示唆された. 1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔（Tracheoesophageal fistula；TEF）を形成した. ボイスプロステーシスを用いた気管食道瘻孔による発声の成績は, 発声良好群58例（69.8％）, 発声可能群9例 （10.8％）, 発声不良群9例（10.8％）, 装着不能群7例（6.43％）であった. また, 3年以上のシャント発声を継続した51例における合併症について検討すると, TEF周囲の肉芽を認めたものが15件（プロステーシス抜去0件）, ボイスプロス テーシスの挿入困難が7件（プロステーシス抜去1件）, 気管孔狭窄4件（プロステーシス抜去0件）, TEFからの漏出3件（プロステーシス抜去1件）, その他5件であり, 51例中31例に34件の合併症を認めた. その合併症のほとんどが救済され, ボイスプロテーシスを用いた気管食道瘻孔による発声の有用性が示唆された. |
| Author | 福武, 知重 山下, 敏夫 熊澤, 博文 蔦, 佳尚 百渓, 明代 吉永, 和仁 |
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| DOI | 10.3950/jibiinkoka.101.11_1303 |
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| References | 4) Amatsu M: A new one-stage surgical technique for postlaryngectomy speech. Arch Oto-Rhino Laryngol 220: 149-152, 1978. 29) 甲能直幸 桜井栄,凌梅英,飯野まゆみ:Blom-Singer Voice Prostheses Tracheostoma Valveの使用経験,日気食会報 36:493-499.1985. 10) Singer MI. Blom. ED, Hamaker RC: Further experience with voice restoration after total laryngectomy. Ann Otol Rhinol laryngol 90: 498-502, 1981. 32), designed anterograde and retrograde insertion. Acta Otolaryngol (Stockh) 117: 889-896, 1997. 26) Labruna A, Klatsky I, Huo J-Tracheoesophageal puncture in irradiated patients: Ann Otol Rhinol Laryngol 104: 279-281, 1995. 24) Kao WW, Mohr RM. Kimnmel CA, Getch C, Silverman C: The outocome and techniques of primary and secondary tracheoesophageal puncture. Arch Otolaryngol Head and Neck Surg 120: 301-307, 1994. 20) Morris HL., Smith A, Van Demark DR, Maves MD: Communication status following laryngectomy: the lowa experience 1984-1987. Ann Otol Rhinol laryngol 101: 503-510, 1992. 3) Asai R: Laryngoplasty after total laryngectomy. Arch Otolaryngol 95: 114-119, 1972. 14) Milford CA, Perry AR, Mugliston TA, Cheesman AD: A British experience of surgical voice restoration as a primary procedure. Arch Otolaryngol Head and Neck Surg 114: 1419-1421, 1988. 13) Stiernberg CM, Baily BJ, CalhounKH, Perez DG Primary tracheoesophageal fistula procedure for voice restoration: the University of Texas Medical Branch experience. Laryngoscope 97: 820-824, 1987. 19) St Guily JL, Angelard B, el Bez M: Postlaryngectomy voice restoration. A prospective study in 83 patients. Arch Otolaryngol Head and Neck Surg 118: 252-255, 1992. 31) Hilgers FJM. Ackerstaff AH, Balm AJM. Tan IB. Arronson NK, et al: Development and clinical evaluation of second-generation voice prostheses (Provox 8) 福武知重.野添恒幹.山下敏夫,態澤忠躬;無喉頭者に対する音声リハビリテーション(Blom-Singer voiceprosthesesの使用経験).日耳鼻 89:152-161,1986. 15) Wening BL, Mullooly V, Levy J, Abramson AL: Voice restoration following laryngectomy: the role of primary versus secondary tracheoesophageal puncuture. Ann Otol Rhinol Laryngol 98: 70-73, 1989. 17) Maniglia AJ, Lundy DS, Casiano RC, Swim SC: Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy. Laryngoscope 99: 489-491, 1989. 27) 平野実,伊藤敏雄,重森優子.小林仙吉:喉摘出者の社会的,経済的側面-音声の使用度との関連-耳鼻臨床 71:1287-1295,1978. 22) 天津睦郎:喉頭摘出後の音声再建外科.第93回日本耳鼻咽喉科学会総会宿題報告,1992. 18) Recher G, Pesavento G, Cristoferi V, Ferlito A: Italian experience of voice restoration after laryn gectomy with tracheoesophageal puncture. Ann Otol Rhinol laryngol 100: 206-210, 1991. 30) Van Den Hoogen FJA. Oudes MJ, Hombergen G, Nijdam HF, Manni JJ: The Groningen, Nijadam and Provox voice prostheses: A prospective clinical comparison based on 845 replacements. Acta Otolaryngol (Stockh) 116: 119-124, 1996. 9) Fukutake T, Kumazawa T: Speech rehabilitation and Complication of primary tracheoesophageal punc ture. Acta Otolaryngol (Stockh) Suppl 500: 117-120, 1993. 5) Amatsu M: A one-stage surgical technique for post laryngectomy voice rehabilitation. Laryngoscope 90: 1378-1386. 1980. 28) 木西實,牧野邦彦,谷光毅,天津睦郎:Tra-cheoesophageal puncture (Singer-Blom)による喉摘出後音声獲得術.日気食会報 36:481-487,1985. 11) Donegan JO, Gluckman JL, Singh J: Limitations of the Blom-Singer technique for voice restoration. Ann Otol Rhinol laryngol 90: 495-497, 1981 12) WCetmore SJ. Kruger K, Wesoon K, Blessing MD Long term results of the Blom Singer sprech rehabili tation procedure Arch Otolaryngol 111: 106-109, 1985. 2) Conley JJ: A new surgical technique for the vocal rehabilitation of the laryngectomized patients. Ann Otol Rhinol Laryngol 67: 655-644, 1958. 23) 藤井隆,佐藤武雄,吉野邦俊,馬谷克則,伊藤聡,他:喉摘出者の音声リハビリテーション,とくに食道発生習得について日耳鼻 96:1086-1093,1993. 25) lzdebski K, Reed CC, Ross JC, Hilsinger RL: Problems with tracheoesophageal fistula voice restoration in totally laryngectomized patients. A review of 95 cases. Arch Otolaryngol Head and Neck Surg 120 840-845, 1994. 16) Lavertu P, Scott SE, Finnegan EM, Levine HL, Tucker HM, et al: Secondary tracheoesophageal puncuture for voice rehabilitation after laryngectomy. Arch Otolaryngol Head and Neck Surg 115: 350-355, 1989. 7) Singer MI, Blom ED: An endoscopic technique for restration, of voice after laryngectomy. Ann Otol Rhinol Laryngol 89: 529-533. 1980. 6) Amatsu M: Evaluation of speech of laryngectom after the Amatsu tracheoesophageal shunt operation. Laryngoscope 94: 696-701, 1984. 21) Quer M, Burgues-Vila J, Garcia-Crespillo P: Primary tracheoesophageal puncture vs esophageal speech. Arch Otolaryngol Head and Neck Surg 118: 188-190, 1992. 1) Guttmann MR: Tracheohypopharyngeal fistulization. Trans Am Laryngol Rhinol and Otol Society 41: 219-226, 1935. |
| References_xml | – reference: 2) Conley JJ: A new surgical technique for the vocal rehabilitation of the laryngectomized patients. Ann Otol Rhinol Laryngol 67: 655-644, 1958. – reference: 12) WCetmore SJ. Kruger K, Wesoon K, Blessing MD Long term results of the Blom Singer sprech rehabili tation procedure Arch Otolaryngol 111: 106-109, 1985. – reference: 13) Stiernberg CM, Baily BJ, CalhounKH, Perez DG Primary tracheoesophageal fistula procedure for voice restoration: the University of Texas Medical Branch experience. Laryngoscope 97: 820-824, 1987. – reference: 20) Morris HL., Smith A, Van Demark DR, Maves MD: Communication status following laryngectomy: the lowa experience 1984-1987. Ann Otol Rhinol laryngol 101: 503-510, 1992. – reference: 5) Amatsu M: A one-stage surgical technique for post laryngectomy voice rehabilitation. Laryngoscope 90: 1378-1386. 1980. – reference: 14) Milford CA, Perry AR, Mugliston TA, Cheesman AD: A British experience of surgical voice restoration as a primary procedure. Arch Otolaryngol Head and Neck Surg 114: 1419-1421, 1988. – reference: 6) Amatsu M: Evaluation of speech of laryngectom after the Amatsu tracheoesophageal shunt operation. Laryngoscope 94: 696-701, 1984. – reference: 9) Fukutake T, Kumazawa T: Speech rehabilitation and Complication of primary tracheoesophageal punc ture. Acta Otolaryngol (Stockh) Suppl 500: 117-120, 1993. – reference: 7) Singer MI, Blom ED: An endoscopic technique for restration, of voice after laryngectomy. Ann Otol Rhinol Laryngol 89: 529-533. 1980. – reference: 19) St Guily JL, Angelard B, el Bez M: Postlaryngectomy voice restoration. A prospective study in 83 patients. Arch Otolaryngol Head and Neck Surg 118: 252-255, 1992. – reference: 17) Maniglia AJ, Lundy DS, Casiano RC, Swim SC: Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy. Laryngoscope 99: 489-491, 1989. – reference: 1) Guttmann MR: Tracheohypopharyngeal fistulization. Trans Am Laryngol Rhinol and Otol Society 41: 219-226, 1935. – reference: 22) 天津睦郎:喉頭摘出後の音声再建外科.第93回日本耳鼻咽喉科学会総会宿題報告,1992. – reference: 8) 福武知重.野添恒幹.山下敏夫,態澤忠躬;無喉頭者に対する音声リハビリテーション(Blom-Singer voiceprosthesesの使用経験).日耳鼻 89:152-161,1986. – reference: 10) Singer MI. Blom. ED, Hamaker RC: Further experience with voice restoration after total laryngectomy. Ann Otol Rhinol laryngol 90: 498-502, 1981. – reference: 18) Recher G, Pesavento G, Cristoferi V, Ferlito A: Italian experience of voice restoration after laryn gectomy with tracheoesophageal puncture. Ann Otol Rhinol laryngol 100: 206-210, 1991. – reference: 30) Van Den Hoogen FJA. Oudes MJ, Hombergen G, Nijdam HF, Manni JJ: The Groningen, Nijadam and Provox voice prostheses: A prospective clinical comparison based on 845 replacements. Acta Otolaryngol (Stockh) 116: 119-124, 1996. – reference: 25) lzdebski K, Reed CC, Ross JC, Hilsinger RL: Problems with tracheoesophageal fistula voice restoration in totally laryngectomized patients. A review of 95 cases. Arch Otolaryngol Head and Neck Surg 120 840-845, 1994. – reference: 31) Hilgers FJM. Ackerstaff AH, Balm AJM. Tan IB. Arronson NK, et al: Development and clinical evaluation of second-generation voice prostheses (Provox – reference: 4) Amatsu M: A new one-stage surgical technique for postlaryngectomy speech. Arch Oto-Rhino Laryngol 220: 149-152, 1978. – reference: 16) Lavertu P, Scott SE, Finnegan EM, Levine HL, Tucker HM, et al: Secondary tracheoesophageal puncuture for voice rehabilitation after laryngectomy. Arch Otolaryngol Head and Neck Surg 115: 350-355, 1989. – reference: 24) Kao WW, Mohr RM. Kimnmel CA, Getch C, Silverman C: The outocome and techniques of primary and secondary tracheoesophageal puncture. Arch Otolaryngol Head and Neck Surg 120: 301-307, 1994. – reference: 29) 甲能直幸 桜井栄,凌梅英,飯野まゆみ:Blom-Singer Voice Prostheses Tracheostoma Valveの使用経験,日気食会報 36:493-499.1985. – reference: 21) Quer M, Burgues-Vila J, Garcia-Crespillo P: Primary tracheoesophageal puncture vs esophageal speech. Arch Otolaryngol Head and Neck Surg 118: 188-190, 1992. – reference: 28) 木西實,牧野邦彦,谷光毅,天津睦郎:Tra-cheoesophageal puncture (Singer-Blom)による喉摘出後音声獲得術.日気食会報 36:481-487,1985. – reference: 32), designed anterograde and retrograde insertion. Acta Otolaryngol (Stockh) 117: 889-896, 1997. – reference: 15) Wening BL, Mullooly V, Levy J, Abramson AL: Voice restoration following laryngectomy: the role of primary versus secondary tracheoesophageal puncuture. Ann Otol Rhinol Laryngol 98: 70-73, 1989. – reference: 27) 平野実,伊藤敏雄,重森優子.小林仙吉:喉摘出者の社会的,経済的側面-音声の使用度との関連-耳鼻臨床 71:1287-1295,1978. – reference: 26) Labruna A, Klatsky I, Huo J-Tracheoesophageal puncture in irradiated patients: Ann Otol Rhinol Laryngol 104: 279-281, 1995. – reference: 23) 藤井隆,佐藤武雄,吉野邦俊,馬谷克則,伊藤聡,他:喉摘出者の音声リハビリテーション,とくに食道発生習得について日耳鼻 96:1086-1093,1993. – reference: 3) Asai R: Laryngoplasty after total laryngectomy. Arch Otolaryngol 95: 114-119, 1972. – reference: 11) Donegan JO, Gluckman JL, Singh J: Limitations of the Blom-Singer technique for voice restoration. Ann Otol Rhinol laryngol 90: 495-497, 1981 |
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| Snippet | 1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔(Tra-cheoesophageal fistula;... 1983年から1995年に男性69例と女性14例の計83例に対して喉頭全摘出術後一次的にBlomとSingerのボイスプロステーシスを用いた気管食道瘻孔（Tracheoesophageal fistula；TEF）を形成した. ボイスプロステーシスを用いた気管食道瘻孔による発声の成績は,... |
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| SubjectTerms | ボイスプロステーシス 代替音声 喉頭全摘 気管食道瘻孔 音声再建 |
| Title | 喉頭全摘出後のボイスプロステーシスによる音声獲得と経過観察 |
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| ispartofPNX | 日本耳鼻咽喉科学会会報, 1998/11/20, Vol.101(11), pp.1303-1310 |
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