CN2776337Y - External body multifunction throat - Google Patents
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- CN2776337Y CN2776337Y CN 200420098396 CN200420098396U CN2776337Y CN 2776337 Y CN2776337 Y CN 2776337Y CN 200420098396 CN200420098396 CN 200420098396 CN 200420098396 U CN200420098396 U CN 200420098396U CN 2776337 Y CN2776337 Y CN 2776337Y
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- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 210000000867 larynx Anatomy 0.000 claims description 5
- 210000000214 mouth Anatomy 0.000 abstract description 17
- 230000000694 effects Effects 0.000 abstract description 4
- 238000000338 in vitro Methods 0.000 abstract description 4
- 230000008786 sensory perception of smell Effects 0.000 abstract description 4
- 238000001914 filtration Methods 0.000 abstract description 3
- 239000003651 drinking water Substances 0.000 abstract description 2
- 235000020188 drinking water Nutrition 0.000 abstract description 2
- 235000019645 odor Nutrition 0.000 abstract description 2
- 230000000391 smoking effect Effects 0.000 abstract description 2
- 238000010792 warming Methods 0.000 abstract 1
- 230000001755 vocal effect Effects 0.000 description 6
- 230000006870 function Effects 0.000 description 5
- 210000003928 nasal cavity Anatomy 0.000 description 4
- 210000003437 trachea Anatomy 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 206010023825 Laryngeal cancer Diseases 0.000 description 2
- 208000002193 Pain Diseases 0.000 description 2
- 206010023841 laryngeal neoplasm Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000007436 olfactory function Effects 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- TVEXGJYMHHTVKP-UHFFFAOYSA-N 6-oxabicyclo[3.2.1]oct-3-en-7-one Chemical compound C1C2C(=O)OC1C=CC2 TVEXGJYMHHTVKP-UHFFFAOYSA-N 0.000 description 1
- 206010071368 Psychological trauma Diseases 0.000 description 1
- 230000036528 appetite Effects 0.000 description 1
- 235000019789 appetite Nutrition 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000004199 lung function Effects 0.000 description 1
- 229920002529 medical grade silicone Polymers 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000010352 nasal breathing Effects 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
- 239000004945 silicone rubber Substances 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 230000009967 tasteless effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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Abstract
本实用新型公开了一种体外多功能喉。它由三叉管、发音管、嗅觉管构成,三叉管具有一个主管和两个叉管,嗅觉管的一端与其一个叉管相连接,发音管的一端与其另一个叉管相连接并伸入主管中,发音装置设置于该发音管伸入主管一端的端部,三叉管主管的外端具有连接装置与患者颈部的气管套管或气管造瘘口相连接,嗅觉管的另一端连接有中空的鼻塞,该鼻塞具有适于插入鼻前庭的外形,该体外喉不仅对吸入的空气具有过滤和加温加湿作用,还能使患者恢复嗅觉功能,使患者闻到各种气味,并能恢复患者口腔的吸呐动作,便于喝水,还可以抽烟;利用膜片的振动和其在三叉管主管中产生的共鸣,还可以让患者完成简单的语言。
The utility model discloses an in vitro multifunctional throat. It consists of a trident tube, a sound tube, and an olfactory tube. The trident tube has a main tube and two fork tubes. One end of the olfactory tube is connected to one of the fork tubes, and one end of the sound tube is connected to the other fork tube and extends into the main tube. , the sounding device is set at the end of the sounding tube extending into one end of the main tube, the outer end of the trident tube main tube has a connecting device to connect with the tracheal cannula or tracheostomy port of the patient's neck, and the other end of the olfactory tube is connected with a hollow Nasal plug, the nasal plug has a shape suitable for insertion into the nasal vestibule. This external throat not only has the effect of filtering and warming and humidifying the inhaled air, but also restores the patient's sense of smell, enables the patient to smell various odors, and restores the patient's oral cavity. The suction action is convenient for drinking water and smoking; using the vibration of the diaphragm and its resonance in the main tube of the trident tube, the patient can also complete simple language.
Description
所属技术领域Technical field
本实用新型涉及人工喉技术领域,特别是一种能使全喉切除患者恢复发声与嗅觉功能的体外多功能喉。The utility model relates to the technical field of artificial larynx, in particular to an extracorporeal multifunctional larynx capable of recovering vocal and olfactory functions for patients undergoing total laryngectomy.
背景技术Background technique
咽喉,作为人体的一个重要器官主要有四项功能,而喉癌是耳鼻咽喉外科常见的恶性肿瘤,发病率占耳鼻咽喉科第三位,喉癌的主要治疗方法是施行喉切除术,特别是晚期喉癌患者不得不行全喉切除,术后患者最大的痛苦是:1、丧失了发音、讲话功能。2、口腔不能作吸呐动作,喝水不便,无法抽烟。3、丧失了鼻、口的呼吸功能,颈部气管永远造瘘,开放气管,对吸入的空气无过滤和加温加湿的作用,冬天气管往往很干燥,气道容易出血。4、因不能经鼻腔呼吸,丧失嗅觉功能,进食无味,降低食欲。由此给患者生活带来极大困难,心理造成重大创伤。Throat, as an important organ of the human body, has four main functions, and laryngeal cancer is a common malignant tumor in otolaryngology surgery, and its incidence rate accounts for the third place in otolaryngology. Patients with advanced laryngeal cancer have to undergo total laryngectomy. The greatest pain for patients after surgery is: 1. Loss of pronunciation and speech functions. 2. The oral cavity cannot be sucked, it is inconvenient to drink water, and it is impossible to smoke. 3. The breathing function of the nose and mouth is lost, and the trachea in the neck is permanently ostomized. The trachea is opened, and there is no filtering, heating and humidifying effect on the inhaled air. In winter, the trachea is often very dry, and the airway is prone to bleeding. 4. Due to the inability to breathe through the nasal cavity, the sense of smell is lost, the food is tasteless, and the appetite is reduced. This brings great difficulties to the patient's life and causes great psychological trauma.
为此,许多国内外学者长期以来进行不懈的探索研究,目前,恢复讲话功能基本得到解决,主要方法有食管发音法、体外人工喉各种发音重建的手术方法、电子喉发音装置等,但均有其不足之处,特别是对于恢复患者口腔的吸呐动作、恢复患者的嗅觉功能尚无较好的解决方案,也未见相关报道,而对于上述术后患者的四大痛苦更无综合的解决方案。For this reason, many domestic and foreign scholars have carried out unremitting exploration and research for a long time. At present, the restoration of speech function has basically been solved. It has its deficiencies, especially there is no good solution for restoring the suction action of the patient's mouth and the recovery of the patient's sense of smell, and there are no related reports, and there is no comprehensive solution for the above four major pains of the postoperative patient. solution.
发明内容Contents of the invention
为解决上述问题,本实用新型提供一种无须患者接受第二次手术即可恢复发音、讲话功能,并能恢复口腔的吸呐动作、恢复嗅觉功能且对吸入的空气具有加温加湿作用的体外多功能喉。In order to solve the above problems, the utility model provides an in vitro device that can restore pronunciation and speech functions without the need for the patient to undergo a second operation, and can restore the sucking action of the oral cavity and the sense of smell, and has the effect of heating and humidifying the inhaled air. Multipurpose throat.
本实用新型解决其技术问题所采用的技术方案是:一种体外喉,包括发音装置,它由三叉管、发音管、嗅觉管构成,三叉管具有一个主管和两个叉管,嗅觉管的一端与其一个叉管相连接,发音管的一端与其另一个叉管相连接并伸入主管中,所述发音装置设置于该发音管伸入主管一端的端部,所述的三叉管主管的外端具有连接装置。The technical solution adopted by the utility model to solve the technical problem is: an external throat, including a pronunciation device, which is composed of a trident tube, a pronunciation tube, and an olfactory tube. The trident tube has a main pipe and two fork tubes, and one end of the olfactory tube It is connected with one fork pipe, one end of the sound pipe is connected with the other fork pipe and extends into the main pipe, the sounding device is arranged at the end of the sound pipe extending into the main pipe, and the outer end of the main pipe of the trident With connecting device.
所述的嗅觉管的另一端连接有中空的鼻塞,该鼻塞具有适于插入鼻前庭的外形;所述的发音管的另一端连接有短管,该短管较硬,可以使患者用上下牙齿咬住;嗅觉管、发音管的中部连接有绳带,可以挂在患者的耳廓,将嗅觉管、发音管拉离嘴角,方便患者进食。The other end of the olfactory tube is connected with a hollow nasal plug, which has a shape suitable for insertion into the nasal vestibule; the other end of the vocal tube is connected with a short tube, which is relatively hard and allows the patient to use the upper and lower teeth. Bite; the middle part of the olfactory tube and the vocal tube is connected with a rope, which can be hung on the patient's auricle, and the olfactory tube and the vocal tube are pulled away from the corner of the mouth, which is convenient for the patient to eat.
所述的连接装置为设置于三叉管主管外端的碗形罩,三叉管主管的外端伸入该碗形罩内,碗形罩的周边具有与人体的颈部相吻合的形状,适合于颈部为气管造瘘口的患者使用;如将主管的外端伸入碗形罩内,并使主管的口部直径略大于气管套管的外径,则更适合于颈部戴气管套管的患者使用,既能使患者的气管套管直接与三叉管的主管相连接,还可以起到定位作用。The connecting device is a bowl-shaped cover arranged on the outer end of the main pipe of the trident tube, and the outer end of the main tube of the trident tube extends into the bowl-shaped cover. It is more suitable for patients with a tracheostomy at the top; if the outer end of the main tube is inserted into the bowl-shaped cover, and the diameter of the mouth of the main tube is slightly larger than the outer diameter of the tracheal tube, it is more suitable for patients with a tracheal tube on the neck When used by the patient, the patient's tracheal cannula can be directly connected with the main pipe of the trident tube, and it can also play a positioning role.
所述的碗形罩的边缘上还设有固定装置,该固定装置可以为碗形罩边缘上设置的松紧带,也可以为碗形罩边缘上对称设置的两根系带,还可以为碗形罩边缘上对称设置的两根扁带,扁带的末端设有搭扣,这样可方便患者将本实用新型的体外多功能喉固定于颈部。The edge of the bowl-shaped cover is also provided with a fixing device, which can be an elastic band arranged on the edge of the bowl-shaped cover, or two laces symmetrically arranged on the edge of the bowl-shaped cover, or can also be a Two slings are arranged symmetrically on the edge, and the ends of the slings are provided with buckles, which can facilitate patients to fix the multifunctional larynx in vitro to the neck of the utility model.
所述的连接装置还可以为设置于三叉管主管外端的一段连接管,该连接管可插入人体颈部的气管套管中,适合于颈部戴有气管套管的患者使用。The connecting device can also be a section of connecting tube arranged at the outer end of the main tube of the trident tube, the connecting tube can be inserted into a tracheal tube in the neck of a human body, and is suitable for patients wearing a tracheal tube in the neck.
所述的连接装置为设置于三叉管主管外端的一段连接管,该连接管的内径与人体颈部的气管套管的外径相应,该连接管的内壁上具有向内的凸起,该凸起与人体颈部的气管套管的外壁上的凹坑或凹槽相卡入式连接,适合于颈部戴有气管套管的患者使用。The connecting device is a section of connecting pipe arranged at the outer end of the main tube of the trident tube. The inner diameter of the connecting pipe corresponds to the outer diameter of the tracheal tube in the neck of the human body. The inner wall of the connecting pipe has an inward protrusion, and the protrusion The tracheal cannula is snap-in connected with the pit or groove on the outer wall of the tracheal cannula on the neck of the human body, and is suitable for patients wearing the tracheal cannula on the neck.
所述的发音装置为覆盖发音管端口的膜片,该膜片为长条状,其宽度略窄于发音管端口的直径,其两端与发音管端部的外侧壁相连接,中间覆盖发音管端口的大部分,其两边缘分别与与其对应的发音管端口边缘之间具有对称的间隙。The sounding device is a diaphragm covering the port of the sounding tube, the diaphragm is strip-shaped, its width is slightly narrower than the diameter of the sounding tube port, its two ends are connected with the outer wall of the sounding tube end, and the middle covers the Most of the tube port has symmetrical gaps between its two edges and the corresponding sound tube port edges.
本实用新型的体外多功能喉在使用时,先将三叉管主管外端的连接装置连接于患者颈部的气管套管或气管造瘘口上,再将嗅觉管另一端的鼻塞插入患者的一个鼻前庭,令患者自然呼吸,气流便经另一个鼻腔吸入,经达嗅区、后鼻孔、插入嗅觉管的鼻腔、嗅觉管、最后进入气管,这样一个循环不仅对吸入的空气具有过滤和加温加湿作用,还能恢复患者的嗅觉功能,使患者闻到各种气味,这时如进食则会感到美味可口;又由于这样一个循环恢复了患者的鼻呼吸,能使患者口腔利用肺功能产生的负压作吸呐动作,便于喝水,还可以抽烟;为方便患者进食,可以将嗅觉管、发音管中部连接的绳带挂在患者的耳廓,将嗅觉管、发音管拉离嘴角。患者需要讲话时,可以用上下牙齿咬住发音管另一端连接的短管,也可以手持短管,使短管的管口对准患者的口腔,患者口腔作正常的发声动作时,气流沿发音管到达膜片使膜片振动并在三叉管的主管中产生音响,传递到口内,藉口内口形改变产生共鸣,完成简单语言。When using the extracorporeal multifunctional throat of the present utility model, first connect the connecting device at the outer end of the trident tube to the tracheal cannula or tracheostomy port of the patient's neck, and then insert the nasal plug at the other end of the olfactory tube into a nasal vestibule of the patient. , so that the patient breathes naturally, the airflow will be inhaled through another nasal cavity, through the olfactory area, the posterior nostril, the nasal cavity inserted into the olfactory tube, the olfactory tube, and finally enter the trachea. Such a cycle not only has the effect of filtering, heating and humidifying the inhaled air , can also restore the patient's olfactory function, so that the patient can smell various odors, and at this time, if eating, he will feel delicious; and because of such a cycle, the patient's nasal breathing can be restored, and the patient's mouth can use the negative pressure generated by lung function. Sucking action is convenient for drinking water and smoking; in order to facilitate the patient to eat, the rope connected to the middle of the olfactory tube and the vocal tube can be hung on the patient's auricle, and the olfactory tube and the vocal tube are pulled away from the corner of the mouth. When the patient needs to speak, he can use the upper and lower teeth to bite the short tube connected to the other end of the pronunciation tube, or he can hold the short tube so that the mouth of the short tube is aimed at the patient's mouth. When the tube reaches the diaphragm, the diaphragm vibrates and produces a sound in the main pipe of the trident tube, which is transmitted to the mouth, resonating with the change of the mouth shape in the excuse, and completing simple language.
附图说明Description of drawings
图1是本实用新型的体外多功能喉第一个具体实施方式的示意图。Fig. 1 is a schematic diagram of the first specific embodiment of the multi-function extracorporeal throat of the present invention.
图2是本实用新型的体外多功能喉第二个具体实施方式的示意图。Fig. 2 is a schematic diagram of the second embodiment of the extracorporeal multifunctional throat of the present invention.
图3是本实用新型的体外多功能喉第三个具体实施方式的示意图。Fig. 3 is a schematic diagram of the third specific embodiment of the extracorporeal multifunctional throat of the present invention.
图中:1-松紧带,2-碗形罩,3-主管,4-叉管,5-三叉管,6-膜片,7-发音管,8-嗅觉管,9-短管,10-鼻塞,11-绳带,12-连接管,13-连接管,14-凸起。In the figure: 1-elastic band, 2-bowl-shaped cover, 3-main pipe, 4-fork tube, 5-trifurcated tube, 6-diaphragm, 7-sound tube, 8-olfactory tube, 9-short tube, 10-nasal plug , 11-rope belt, 12-connecting pipe, 13-connecting pipe, 14-protrusion.
具体实施方式Detailed ways
图1所示为本实用新型的第一个具体实施方式的体外多功能喉,它由三叉管5、发音管7、嗅觉管8构成,材料为医用硅橡胶,三叉管5具有一个主管3和两个叉管4,嗅觉管8的一端与其一个叉管4相插入式连接,发音管7的一端与其另一个叉管相插入式连接并伸入主管3中,发音装置设置于该发音管7伸入主管3一端的端部,由覆盖发音管端口的膜片6构成,该膜片6为长条状,材料为厚0.3毫米的硅橡胶膜,其宽度略窄于发音管7端口的直径,其两端与发音管6端部的外侧壁相连接,中间覆盖发音管7端口的大部分,其两边缘分别与与其对应的发音管7端口边缘之间具有对称的间隙;三叉管主管3外端设置碗形罩2,碗形罩2的周边具有与人体的颈部相吻合的形状,主管3的外端伸入该碗形罩2内,主管3的口部直径略大于气管套管的外径,碗形罩2的边缘上还设置有松紧带1作为固定装置;嗅觉管8的另一端连接有中空的鼻塞10,该鼻塞10具有适于插入鼻前庭的外形;发音管7的另一端连接有短管9,该短管9较硬,可以使患者用上下牙齿咬住;嗅觉管8、发音管7的中部连接有绳带11,可以挂在患者的耳廓,将嗅觉管8、发音管7拉离嘴角,方便患者进食。Fig. 1 shows the in vitro multifunctional throat of the first specific embodiment of the present utility model, and it is made of
图2所示为本实用新型的第二个具体实施方式的体外多功能喉,它由三叉管5、发音管7、嗅觉管8构成,三叉管5具有一个主管3和两个叉管4,嗅觉管8的一端与其一个叉管4相插入式连接,发音管7的一端与其另一个叉管相插入式连接并伸入主管3中,发音装置设置于该发音管7伸入主管3一端的端部,同第一种具体实施方式;三叉管主管3的外端设置一段连接管12,该连接管12较硬可插入人体颈部气管套管中;嗅觉管8的另一端连接有中空的鼻塞10,该鼻塞10具有适于插入鼻前庭的外形;发音管7的另一端连接有短管9,该短管9较硬,可以使患者用上下牙齿咬住;嗅觉管8、发音管7的中部连接有绳带11,可以挂在患者的耳廓,将嗅觉管8、发音管7拉离嘴角,方便患者进食。Fig. 2 shows the external multifunctional throat of the second specific embodiment of the present utility model, and it is made of
图3所示为本实用新型的第三个具体实施方式的体外多功能喉,它由三叉管5、发音管7、嗅觉管8构成,三叉管5具有一个主管3和两个叉管4,嗅觉管8的一端与其一个叉管4相插入式连接,发音管7的一端与其另一个叉管相插入式连接并伸入主管3中,发音装置设置于该发音管7伸入主管3一端的端部,同第一种具体实施方式;三叉管主管3的外端设置一段连接管13,该连接管13的内径与人体颈部的气管套管的外径相应,该连接管13的内壁上具有6个向内的凸起14,该凸起14与人体颈部的气管套管的外壁上的凹坑或凹槽相卡入式连接;嗅觉管8的另一端连接有中空的鼻塞10,该鼻塞10具有适于插入鼻前庭的外形;发音管7的另一端连接有短管9,该短管9较硬,可以使患者用上下牙齿咬住;嗅觉管8、发音管7的中部连接有绳带11,可以挂在患者的耳廓,将嗅觉管8、发音管7拉离嘴角,方便患者进食。Fig. 3 shows the external multifunctional throat of the third specific embodiment of the present utility model, and it is made of
本实用新型不局限于上述实施方式,不论其在结构或形状上作任何变化,凡是在患者颈部气管套管或气管造瘘口与鼻腔之间设置的气管式连接装置,均落入本实用新型的保护范围。The utility model is not limited to the above-mentioned embodiment, regardless of any changes in its structure or shape, any tracheal connection device arranged between the patient's neck tracheal cannula or tracheostomy port and the nasal cavity falls into the scope of this utility model. A new type of protection.
Claims (10)
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CN 200420098396 CN2776337Y (en) | 2004-12-17 | 2004-12-17 | External body multifunction throat |
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CN 200420098396 Expired - Fee Related CN2776337Y (en) | 2004-12-17 | 2004-12-17 | External body multifunction throat |
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CN (1) | CN2776337Y (en) |
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2004
- 2004-12-17 CN CN 200420098396 patent/CN2776337Y/en not_active Expired - Fee Related
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