图书简介
This book contains a series of articles and summaries regarding surgical voice restoration after or during a total laryngectomy. Most readers will recall the pleasure patients feel when they are able to speak again after years of mute existence. A few simple questions are relevant to the articles contained herein. Firstly, how important is a person?s voice? Is it for example as important to man as the dances bees use to convey essential information? Even the most superficial consideration must tell us that the function of the human voice is still more important as we already have a detailed body language of our own, e.g., when we feel pain,joy, love, fear, etc. Without doubt, speech is the basis of knowledge and surely it is the capacity to learn which characterizes the human intellect. Secondly, one may ask whether man was always intended to have a voice? A few every-day observations can provide us with an answer. When little children play together, for instance, they all speak at once and seldom listen to what their neighbors are saying. Obviously, this is b~cause it is not so important what they are actually saying as that something is being said at all.
Historical Perspective.- 1 The Different Types of Voice Prostheses.- The Simple Semi-Permanent Supratracheal Valve Prosthesis after Total Laryngectomy.- A Second Generation Artificial Larynx Prosthesis ? A Comparative Clinical Evaluation.- The Groningen Voice Prosthesis for Secondary Voice Rehabilitation after Total Laryngectomy.- The Groningen Voice Prosthesis for Voice Rehabilitation During Total Laryngectomy.- The Groningen Button Results.- Voice Rehabilitation after Laryngectomy with the Groningen Voice Prosthesis: Experiences Made in Nijmegen.- The Phoniatric Results of Our Voice Prostheses (36 Cases).- The Hypopharyngeal Puncture.- Our Experiences with Delayed Primary Voice Rehabilitation.- Assessment and Management Protocol for Tracheo-Oesophageal ?Puncture? Procedures.- 2 Experimental Research Regarding the Function and Handling of Voice Prostheses.- Physical Aspects of Tracheo-Oesophageal Shunt Prostheses (Pressure ? Flow Measurements of a Model Prosthesis).- In Vitro Experiments Using Valve Prostheses.- Wear and Tear on the Silicon of Valve Prostheses in the Upper Digestive Tract ? A Study Using Electron Microscope Scanning.- Biocompatibility of Plastic Materials.- 3 In Vivo Experiments Using Voice Prostheses.- Aerodynamic Properties of Buttons and Button-Assisted Oesophageal Speech.- In Vivo Experiments Using Valve Prostheses ? Resistance and Pressure/ Time Measurement.- 4 Problems Occurring with the Inferior Pharyngeal Muscle and Their Possible Solutions.- Function of the Pharynx and Killian Mouth in Voice Production with Our Prosthesis.- The Anatomy of the Larynx, Pharynx and Cervical Oesophagus in Relation to Surgical Voice Restoration.- Glottoplasty with Functional Pharynx Surgery and Tracheostomaplasty.- 5 Indications, Results and Their Means of Evaluation.- Possible Ways of Reconstructing the Pharynx with a One-Step Operation while Attempting Voice Restoration.- Problem of the Indications for the Use of a Valved Prosthesis.- Lung Function Tests in Laryngectomized Patients.- Evaluation of Speech with and Without a ?Groningen Type? Voice Button.- Intelligibility, Vocal Intensity, and Long-Term Average Spectra of Groningen Button-Oesophageal Speech.- The Postlaryngectomy Telephone Intelligibility Test (PLTT).- 4 Years Experience of Voice Production and Deglutition Using Valve Prostheses.- 6 Speech Training, Intelligibility and Psychosocial Aspects.- Speech Training of Oesophageal Voice with a Button.- Intelligibility and Psycho-Social Adjustment. A Comparison Between Patients with Oesophageal Voice and Patients with a Voice Prosthesis.- Social and Psychosocial Aspects of Vocal Rehabilitation in Laryngectomized Patients ? Preliminary Results.- 7 Fingerless Voice Restoration.- Experiences with Surgical Voice Restoration.- Amatsu?s Technique Using the Blom-Singer Tracheostoma Valve.- Fingerless Voice Restoration Using Amatsu?s Technique.- Experience with the ESKA-Herrmann Tracheostoma Valve.- Implantation of the Recurrent Nerve and Its Possible Use as a Trigger for an Artificial Larynx.- 8 Experimental Research to Establish an Artificial Larynx.- Experimental Research to Establish an Artificial Larynx.
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