Nursing care for postoperative laryngeal function rehabilitation in a patient undergoing primary voice prosthesis implantation after total laryngectomy

doi:10.3761/j.issn.0254-1769.2025.09.015

Abstract

Abstract:

This article reports on the nursing experience in the rehabilitation of laryngeal function with primary tracheoesophageal puncture for voice prosthesis rehabilitation after laryngectomy. The core elements of postoperative nursing included：the use of a Heat and Moisture Exchanger（HME） for airway humidification to maintain pulmonary health；the implementation of progressive speech training to aid in the reconstruction of speech function；continuous monitoring and dilatation training to ensure the appropriate size of the stoma，thereby ensuring smooth breathing and speech；nasal airflow-inducing training for the promotion of olfactory rehabilitation；standardized maintenance of the voice prosthesis to extend its lifespan and reduce the occurrence of complications. After meticulous postoperative care，the patient showed good recovery of speech，olfaction，and respiratory function at the one-month follow-up，with the stoma diameter maintained at an ideal size and no complications occurred.

Key words: Total Laryngectomy, Prostheses and Implants, Rehabilitation of Laryngeal Function, Speech Rehabilitation, Olfactory Training, Nursing Care

摘要：

总结1例全喉切除辅助发音管Ⅰ期植入患者术后喉功能康复的护理经验。护理要点：使用热湿交换器行气道湿化，维持肺部健康；采用渐进式发音训练，重建发音功能；持续造口监测与扩张训练，保障呼吸与发音顺畅；进行鼻气流诱导训练，促进嗅觉康复；规范发音管维护，延长发音管寿命，降低并发症。经过术后精心护理，随访1个月后患者发音、嗅觉、呼吸功能恢复良好，造口维持在合适直径，未发生相关并发症。

关键词: 全喉切除术, 辅助发音管植入术, 喉功能康复, 言语康复, 嗅觉训练, 护理

SHI Meiqin, WU Jianfang, ZHANG Duo, WU Chunping, CHEN Ling, TAO Lei. Nursing care for postoperative laryngeal function rehabilitation in a patient undergoing primary voice prosthesis implantation after total laryngectomy[J]. Chinese Journal of Nursing, 2025, 60(9): 1120-1123.

石美琴, 吴建芳, 张铎, 吴春萍, 陈玲, 陶磊. 1例全喉切除辅助发音管Ⅰ期植入患者术后喉功能康复的护理[J]. 中华护理杂志, 2025, 60(9): 1120-1123.

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