| Autor: |
Kozaki, Ken-ichi, Kawakami, Shigehisa, Konishi, Takayuki, Ohta, Keiji, Yano, Jitsuro, Onoda, Tomoo, Matsumoto, Hiroshi, Mizukawa, Nobuyoshi, Kimata, Yoshihiro, Nishizaki, Kazunori, Iida, Seiji, Gofuku, Akio, Abe, Masanobu, Minagi, Shogo, Okayama Dream Speech Project |
| Jazyk: |
angličtina |
| Rok vydání: |
2016 |
| Předmět: |
|
| Zdroj: |
Acta Medica Okayama. 70(3):205-211 |
| ISSN: |
0386-300X |
| Popis: |
A palatal augmentation prosthesis (PAP) is used to facilitate improvement in the speech and swallowing functions of patients with tongue resection or tongue movement disorders. However, a PAPʼs effect is limited in cases where articulation disorder is severe due to wide glossectomy and/or segmental mandibulectomy. In this paper, we describe speech outcomes of a patient with an articulation disorder following glossectomy and segmental mandibulectomy. We used a palatal plate (PP) based on a PAP, along with an artificial tongue (KAT). Speech improvement was evaluated by a standardized speech intelligibility test consisting of 100 syllables. The speech intelligibility score was significantly higher when the patient wore both the PP and KAT than when he wore neither (p＝0.013). The conversational intelligibility score was significantly improved with the PP and KAT than without PP and KAT (p＝0.024). These results suggest that speech function can be improved in patients with hard tissue defects with segmental mandibulectomy using both a PP and a KAT. The nature of the design of the PP and that of the KAT will allow these prostheses to address a wide range of tissue defects. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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