title: The effects of a maxillary speech-aid prosthesis for the combined tongue and mandibular resection patient.
abstract: 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.
authors.affiliation: Veterans Administration Medical Center, Iowa City, Iowa.
authors.forename: M R
authors.initials: MR
authors.lastname: Arcuri
authors.forename: A L
authors.initials: AL
authors.lastname: Perlman
authors.forename: S A
authors.initials: SA
authors.lastname: Philippbar
authors.forename: J M
authors.initials: JM
authors.lastname: Barkmeier
mesh_terms: 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