The effects of a maxillary speech-aid prosthesis for the combined tongue and mandibular resection patient.
The purpose of this investigation was to develop a protocol for the fabrication of a prosthesis that would improve speech in individuals who have undergone complete removal of the tongue and mandible. A 60-year-old man was suffering from severe xerostomia and was unable to produce intelligible speech. Speech analysis without the prosthesis revealed a profound articulatory disorder. With the prosthesis, xerostomia was eliminated and the subject had fewer articulatory errors of severity. Improvement in speech intelligibility was significant at p less than 0.001.
Arcuri
M R
MR
Veterans Administration Medical Center, Iowa City, Iowa.
Perlman
A L
AL
Philippbar
S A
SA
Barkmeier
J M
JM
D001184:Articulation Disorders / Q000628:therapy; D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008447:Maxillofacial Prosthesis; D008875:Middle Aged; D010700:Phonetics; D011474:Prosthesis Design; D013018:Sound Spectrography; D013065:Speech Intelligibility; D013070:Speech Therapy / Q000295:instrumentation*; D013524:Surgical Flaps; D014059:Tongue / Q000601:surgery*; D014062:Tongue Neoplasms / Q000534:rehabilitation / Q000601:surgery; D014987:Xerostomia / Q000517:prevention & control