Nursing care for postoperative laryngeal function rehabilitation in a patient undergoing primary voice prosthesis implantation after total laryngectomy
10.3761/j.issn.0254-1769.2025.09.015
- VernacularTitle: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
- Author:
Meiqin SHI
1
;
Jianfang WU
;
Duo ZHANG
;
Chunping WU
;
Ling CHEN
;
Lei TAO
Author Information
1. 200031 上海市 复旦大学附属眼耳鼻喉科医院护理部
- Publication Type:Journal Article
- Keywords:
Total Laryngectomy;
Prostheses and Implants;
Rehabilitation of Laryngeal Function;
Speech Rehabilitation;
Olfactory Training;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1120-1123
- CountryChina
- Language:Chinese
-
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.
