Phục hồi chức năng phát âm sau cắt thanh quản toàn phần bằng van khí-thực quản loại provox

Anh 5: gan ddi mdu

sau ndi tTnh mgch cu'a

Anh 6: sau khi ghep gan

TAI LIEU THAM KHAO

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PHUC HOI CHUrC NANG PHAT AM SAU CAT THANH QUAN TOAN PHAN

BANG VAN KHi-THUC QUAN LOAI PROVOX

PHAM TUAN CANH

TOM TAT

Dit van de: hipn nay phuong phip phyc hoi chire

ning phat am cho benh nhan cat thanh quan toan phan

duoc ap dung nhiiu nhit la st> dyng gigng khi thyc quan.

Muc tieu: Danh gii khi ning phit im eua bpnh

nhin sau dpt van khi-thye quan Provox. Doi twgng vi

phwong phip nghien ciru: nghien cim tiin cim 35

bpnh nhan da eat thanh quan toan phan dirge dpt van

phit am lopi Provox. Sir dyng 10 tieu chi dinh gii kha

nang phit im ciia bpnh nhin. Tit ci cic bpnh nhin

dirge theo ddi chpt che. Ket qua: tt lp phit am thinh

cdng: 85,71%, th&i gian sir dyng ciia 1 van tmng binh:

14,6 thing, toe dg l&i ndi trung binh: 131,23 ± 14,86 im

tiet/phiit

Tir khda: thanh quan, khi thyc quan

SUMMARY

Introduction: Currently, the most commonly used

method of voice mstoration following total laryngectomy

Is: tracheaoesophageal (TEP) speech. TEP speech has

been widely used for vocal rehabilitation in

laryngectomlsed patients. Objectives: To determine a

functional assessment of voice produced by means of

the Provox prosthesis In a tonal language (Vietnamese).

Methods: Prospective study was done with 35

larygectomised patients. The Provox prothesis was used.

Ten items were tested in the categories of speech ability.

All patients were closely followed up. Results:

Prospective study was done in group of 35 patients. The

success rate of speech rehabilitation was 85.71%. The

median device lifetime was 14,16 months. Speech rate:

131.23 + 14.86 (maximum 165) syllables per minute.

The mean tone imitation score was 3.91 + 1.07 in our

patients Telephone communication was also satisfactory

in most patients: 82,85%.

Conclusion: Vietnamese patients can speak

satisfactory tonal language by using the Provox voice

prosthesis.

Keywords: voice restoration, Provox voice prosthesis.

DAT VA N Ofe

Ung thu' thanh quan (UTTQ) vd ung thu' hg hpng la

logi ung thu' hay gap trong chuyen khoa tai mui hpng. Da

so BN din mupn, khdi u da lan rpng, dilu trj can tript de,

kit hpp nhilu Phu'Ong phap; cat thanh quan (TQTP), cat

TQTP va cat mpt phan hg hpng, nao vet hgch eo kit

hpp tia xa hdu phdu [1]. Sau khi eat TQTP mde du khoi

u dd du'pc logi bd, nhu'ng BN khdng ndi du'pc, khong

giao tilp du'pc vdi gia dinh vd xa hpi. Cae phyong phdp

phyc hdi ehire nang phdt am cho BN cat TQTP dd dypc

nghien ciru tir Idu. Hipn nay ngu'di ta cd thi chia ra lam

3 logi gipng sau cdt TQTP: gipng thanh quan dipn, gipng

thyc quan (TQ), gipng khi-thye quan (KTQ)[3]. Trong do

sii' dyng gipng KTQ du'pc diing nhilu hon ca do ky thu|t

dpt van khd don gian, tl lp thdnh cdng khd cao vd chat

lu'png gipng ndi tdt hon cac Phu'Ong phap khde. Xuat

phdt tir tinh cap thilt ciia van d l tren chiing tdi tiln hanh

nghien ciru d l tdi vdi myc tieu; Dinh gii khi nang phit

im cita bpnh nhan sau dpt van khi-thi/c quan Pmvox.

44 Y HOC THl/C HANH (755) - S6 3/2011