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标题：Characteristics of tracheoesophageal voice and speech in laryngectomized patients after primary and secondary application of vocal prosthesis
其他标题：KARAKTERISTIKE TRAHEOEZOFAGUSNOG GLASA I GOVORA LARINGEKTOMISANIH PACIJENATA POSLE PRIMARNE I SEKUNDARNE UGRADNJE VOKALNE PROTEZE
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作者：Veselinović Mila ; Jovanović-Simić Nadica ; Arbutina Tanja 等
期刊名称：Specijalna Edukacija i Rehabilitacija
印刷版ISSN：1452-7367
电子版ISSN：2406-1328
出版年度：2012
卷号：11
期号：2
DOI：10.5937/specedreh1202247V
语种：English
出版社：Univerzitet u Beogradu - Fakultet za specijalnu edukaciju i rehabilitaciju
摘要：Total laryngectomy is a radical procedure that leads to permanent loss of the voice generator and a part of the voice resonator,the larynx,where the basic laryngeal tone is created.One method of voice and speech rehabilitation is implantation of tracheoesophageal prosthesis.The aim of this study was to determine the characteristics of tracheoesophageal speech in patients with primary and secondary vocal prosthesis,to analyze the influence of gender and age on characteristics of the tracheoesophageal speech and self-assessment by patients themselves.This paper presents the results of voice and speech rehabilitation in 48 laryngectomized patients aged 44 to 77 years,with implanted vocal prosthesis during the period from 2008 to 2010 at the Clinic for Ear,Nose and Throat of the Clinical Centre of Vojvodina.The assessment of voice and speech characteristics included: maximum phonation time for the sound /a/,the length of phrases,reading of phonetically balanced word lists,intelligibility of words,reading phonetically balanced text and self-assessment of speech quality of patients referred to their communicative needs.Characteristics of voice and speech in patients who underwent primary vocal prosthesis in relation to secondary placement show no statistically significant difference.In patients under the age of 60,statistically significant better result in terms of speech intelligibility was found.There were no statistically significant differences depending on the patients' gender.Only one patient (1/48) assessed his speech as unsatisfactory.As developing countries cannot provide adequate number of prostheses and their continuous supply for all laryngectomy patients,the installation of a secondary vocal prosthesis could be an adequate method of rehabilitation.A large percentage of success in education of tracheoesophageal speech recommends the placement of vocal prosthesis.
其他摘要：Totalna laringektomija predstavlja radikalni zahvat koji dovodi do trajnog gubitka generatora i dela rezonatora glasa,larinksa u kom se stvara osnovni laringealni ton.Jedna od metoda rehabilitacije glasa i govora je ugradnja traheoezofagusnih proteza.Cilj
关键词：total laryngectomy; tracheoesophageal speech;primary and secondary vocal prosthesis;speech rehabilitation
其他关键词：traheoezofagusni govor;vokalna proteza;totalna laringektomija