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Title:Communication after laryngectomy
Authors:ID Hočevar-Boltežar, Irena (Author)
ID Žargi, Miha (Author)
Files:.pdf PDF - Presentation file, download (82,96 KB)
MD5: 183C57E0002E167EA3B15FD482AC4102
 
Language:Slovenian
Typology:1.02 - Review Article
Organization:Logo OI - Institute of Oncology
Abstract:Izhodišča. Pri bolnikih z napredovalim rakom grla in spodnjega žrela je kirurška odstranitev grla najbolj primeren način zdravljenja. To zdravljenje pa negativno vpliva na številne pomembne bolnikove funkcije in tudi na govor. Bolniki in metode dela. Po odstranitvi grla je možnih več različnih načinov tvorbe glasu, tako da se vsak laringektomirani bolnik lahko nauči katerega od teh načinov govornega sporazumevanja. Rezultati. Znanih je več različnih, tudielektronskih naprav, ki s pomočjo lastnih baterij proizvajajo zvok. Drugo možnost predstavlja ezofagalni govor, pri katerem se bolnik nauči uporabljati mišični segment na prehodu v zgornji požiralnik kot generator glasu. Kirurško možnost govorne rehabilitacije po laringektomiji pa predstavlja vstavitev proteze v kirurško narejeno fistulo med zgornjim požiralnikom in sapnikom. Proteza usmeri zrak iz pljuč v zgornji požiralnik, glas pa nastane pri prehoduzraka skozi že omenjeni mišični segment. Zaključki. Številni dejavniki vplivajo na izbiro najprimernejšega načina nadomestnega govora pri posameznem bolniku. V Sloveniji največ laringektomiranih bolnikov uporablja ezofagalni govor.
Publication status:Published
Publication version:Version of Record
Publication date:01.12.2001
Publisher:Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
Year of publishing:2001
Number of pages:str. 249-254
Numbering:Letn. 35, št. 4
Source:Ljubljana
PID:20.500.12556/DiRROS-17989 New window
UDC:616-006
ISSN on article:1318-2099
COBISS.SI-ID:14291673 New window
Copyright:by Authors
Note:BSDOCID85898;
Publication date in DiRROS:25.01.2024
Views:503
Downloads:123
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:English
Title:Sporazumevanje po laringektomiji
Abstract:Background. Laryngectomy is the mode of treatment of the patients with advanced laryngeal and hypopharyngeal cancer. It affects many important functions, including speech. Patients and methods. Various alaryngeal speech modes are available so that no laryngectomee should be left without a means ofcommunication. Results. There is a variety of artificial devices, including electronic ones that produce their own battery driven sound. Alternatively, the patient can learn a new form of voicing using a muscular segment of the upper esophagus as a source of sound (esophageal speech). A puncture can be created surgically through the esophageal wall and a prosthesis placed in it to divert pulmonary air into the esophagus and through the same muscular segment to produce sound. Conclusions. Many factors influence the choice of analternative to be used with a particular patient. In Slovenia, esophageal speech is the most frequently used alaryngeal speech mode.


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