JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2009, Vol. 23 ›› Issue (3): 21-22.

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Factors affecting pronunciation quality of the Blom-Singer pronunciation tube

ZHU Zhao-feng,  WANG Yue-jian,  LIANG Yu-yan, CHEN Wei-xiong   

  1. Department of Otorhinolaryngology, Foshan First  People′s Hospital, Foshan 528000, Guangdong, China
  • Received:2009-02-26 Revised:2009-04-01 Online:2009-06-16 Published:2009-06-16

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Abstract:

Objective  To explore relative factors affecting dysphonia of the Blom-Singer pronunciation tube.  Methods  The clinical data of 108 patients who had undergone Blom-Singer voice producing reconstruction following total laryngectomy were retrospectively analyzed. 96 cases received stage Ⅰ Blom-Singer voice producing reconstruction, and the other 12 cases underwent stage Ⅱ Blom-Singer voice producing reconstruction.  Results  22 of 96 cases who had undergone stage Ⅰ Blom-Singer voice producing reconstruction had less effective phonation(22/96, 23%), and 8 of 12 cases who had undergone stage Ⅱ Blom-Singer voice producing reconstruction did not get the expected voice(8/12, 67%), and the total failure rate of the two operative methods was 28%.  Conclusion   The successful rate of stage Ⅰ Blom-Singer voice producing reconstruction was higher than that of the stage Ⅱ Blom-Singer voice producing reconstruction. Effect of voicing quality after the operations was closely related to following factors, such as treatments to the cricopharyngeal muscle,  integrity of the tracheoesophagus wall,  size of the trachea stoma, pharyngeal fistula, stenosis of the esophagus hypo-pharyngeal cavity and pulmonary function of patients.

Key words: Total laryngectomy, Pronunciation tube, Treatment outcome

CLC Number: 

  • R767.64
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