喉近全切除術之併發症－嗆食和語音分流狹窄

Complications of Near-total Laryngectomy - Aspiration and Speaking Shunt Stenosis

蘇志英(Chih-Ying Su)

《中華民國耳鼻喉科醫學會雜誌》 32卷1期 (1997/02) Pp. 47-51

https://doi.org/10.6286/1997.32.1.47

摘要

喉近全切除術（NTL）其術後合併症與全喉切除術最大不同點是，前者可能會引起嗆食和語音分流狹窄的問題，後者則無。本文將針對67例接受NTL之咽喉癌患者，手術中皮瓣和咽瓣之使用、術後傷口發炎以及放射線治療與患有嗆食和語音分流狹窄之關係，並討論其預防之道。本研究顯示皮瓣和咽瓣之使用可有效降低併發症，而傷口發炎和術後放射線治療並不會影響分流語之發展結果。

關鍵字

喉近全切除術 ； 嗆食 ； 語音分流狹窄

並列摘要

Generally speaking, the same complica-tions associated with total laryngectomy have been encountered after near-total laryngectomy (NTL). In addition, aspira-tion and speaking shunt stenosis could be the problems for the later. The purposes of this report are to investigate the possi-ble causes of these two complications, the effects of perioperative wound infection, and the effects of postoperative irradiation on the outcome of a patient’s shunt speech. This study reveals that wound infection and radiotherapy do not interfere with the outcome of the shunt speech.

並列關鍵字

near-total laryngectomy ； aspiration ； speaking shunt stenosis