Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator
Identifieur interne : 001C65 ( Pmc/Checkpoint ); précédent : 001C64; suivant : 001C66Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator
Auteurs : Pravesh Kumar [Inde] ; Veena Jain [Inde] ; Alok Thakar [Inde]Source :
- Indian Journal of Palliative Care [ 0973-1075 ] ; 2012.
Abstract
To evaluate the effect of hollow bulb obturator prosthesis on articulation and nasalance in maxillectomy patients.
A total of 10 patients, who were to undergo maxillectomy, falling under Aramany classes I and II, with normal speech and hearing pattern were selected for the study. They were provided with definitive maxillary obturators after complete healing of the defect. The patients were asked to wear the obturator for six weeks and speech analysis was done to measure changes in articulation and nasalance at four different stages of treatment, namely, preoperative, postoperative (after complete healing, that is, 3-4 months after surgery), after 24 hours, and after six weeks of providing the obturators. Articulation was measured objectively for distortion, addition, substitution, and omission by a speech pathologist, and nasalance was measured by Dr. Speech software.
The statistical comparison of preoperative and six weeks post rehabilitation levels showed insignificance in articulation and nasalance. Comparison of post surgery complete healing with six weeks after rehabilitation showed significant differences in both nasalance and articulation.
Providing an obturator improves the speech closer to presurgical levels of articulation and there is improvement in nasality also.
Url:
DOI: 10.4103/0973-1075.105692
PubMed: 23440022
PubMed Central: 3573476
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator</title><author><name sortKey="Kumar, Pravesh" sort="Kumar, Pravesh" uniqKey="Kumar P" first="Pravesh" last="Kumar">Pravesh Kumar</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Jain, Veena" sort="Jain, Veena" uniqKey="Jain V" first="Veena" last="Jain">Veena Jain</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Thakar, Alok" sort="Thakar, Alok" uniqKey="Thakar A" first="Alok" last="Thakar">Alok Thakar</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Otolaryngology and Head Neck Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Otolaryngology and Head Neck Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23440022</idno><idno type="pmc">3573476</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573476</idno><idno type="RBID">PMC:3573476</idno><idno type="doi">10.4103/0973-1075.105692</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002D20</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D20</idno><idno type="wicri:Area/Pmc/Curation">002D20</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002D20</idno><idno type="wicri:Area/Pmc/Checkpoint">001C65</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C65</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator</title><author><name sortKey="Kumar, Pravesh" sort="Kumar, Pravesh" uniqKey="Kumar P" first="Pravesh" last="Kumar">Pravesh Kumar</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Jain, Veena" sort="Jain, Veena" uniqKey="Jain V" first="Veena" last="Jain">Veena Jain</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Thakar, Alok" sort="Thakar, Alok" uniqKey="Thakar A" first="Alok" last="Thakar">Alok Thakar</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Otolaryngology and Head Neck Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Otolaryngology and Head Neck Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Palliative Care</title><idno type="ISSN">0973-1075</idno><idno type="eISSN">1998-3735</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Aim:</title><p>To evaluate the effect of hollow bulb obturator prosthesis on articulation and nasalance in maxillectomy patients.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>A total of 10 patients, who were to undergo maxillectomy, falling under Aramany classes I and II, with normal speech and hearing pattern were selected for the study. They were provided with definitive maxillary obturators after complete healing of the defect. The patients were asked to wear the obturator for six weeks and speech analysis was done to measure changes in articulation and nasalance at four different stages of treatment, namely, preoperative, postoperative (after complete healing, that is, 3-4 months after surgery), after 24 hours, and after six weeks of providing the obturators. Articulation was measured objectively for distortion, addition, substitution, and omission by a speech pathologist, and nasalance was measured by Dr. Speech software.</p></sec><sec id="st3"><title>Results:</title><p>The statistical comparison of preoperative and six weeks post rehabilitation levels showed insignificance in articulation and nasalance. Comparison of post surgery complete healing with six weeks after rehabilitation showed significant differences in both nasalance and articulation.</p></sec><sec id="st4"><title>Conclusion:</title><p>Providing an obturator improves the speech closer to presurgical levels of articulation and there is improvement in nasality also.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Yoshida, H" uniqKey="Yoshida H">H Yoshida</name></author><author><name sortKey="Michi, K" uniqKey="Michi K">K Michi</name></author><author><name sortKey="Ohsawa, T" uniqKey="Ohsawa T">T Ohsawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huryn, Jm" uniqKey="Huryn J">JM Huryn</name></author><author><name sortKey="Piro, Jd" uniqKey="Piro J">JD Piro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moroi, Hh" uniqKey="Moroi H">HH Moroi</name></author><author><name sortKey="Okimoto, K" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Palliat Care</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Palliat Care</journal-id><journal-id journal-id-type="publisher-id">IJPC</journal-id><journal-title-group><journal-title>Indian Journal of Palliative Care</journal-title></journal-title-group><issn pub-type="ppub">0973-1075</issn><issn pub-type="epub">1998-3735</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23440022</article-id><article-id pub-id-type="pmc">3573476</article-id><article-id pub-id-type="publisher-id">IJPC-18-207</article-id><article-id pub-id-type="doi">10.4103/0973-1075.105692</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>Pravesh</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Jain</surname><given-names>Veena</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Thakar</surname><given-names>Alok</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib></contrib-group><aff id="aff1">Department of Maxillofacial Prosthodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</aff><aff id="aff2"><label>1</label>Department of Otolaryngology and Head Neck Surgery, Centre for Dental Education and Research, All India Institute of Medical Sciences (AIIMS), New Delhi, India</aff><author-notes><corresp id="cor1"><italic><bold>Address for correspondence:</bold> Dr. Pravesh Kumar; E-mail: <email xlink:href="drbizenia@gmail.com">drbizenia@gmail.com</email></italic></corresp></author-notes><pub-date pub-type="ppub"><season>Sep-Dec</season><year>2012</year></pub-date><volume>18</volume><issue>3</issue><fpage>207</fpage><lpage>212</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Palliative Care</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Aim:</title><p>To evaluate the effect of hollow bulb obturator prosthesis on articulation and nasalance in maxillectomy patients.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>A total of 10 patients, who were to undergo maxillectomy, falling under Aramany classes I and II, with normal speech and hearing pattern were selected for the study. They were provided with definitive maxillary obturators after complete healing of the defect. The patients were asked to wear the obturator for six weeks and speech analysis was done to measure changes in articulation and nasalance at four different stages of treatment, namely, preoperative, postoperative (after complete healing, that is, 3-4 months after surgery), after 24 hours, and after six weeks of providing the obturators. Articulation was measured objectively for distortion, addition, substitution, and omission by a speech pathologist, and nasalance was measured by Dr. Speech software.</p></sec><sec id="st3"><title>Results:</title><p>The statistical comparison of preoperative and six weeks post rehabilitation levels showed insignificance in articulation and nasalance. Comparison of post surgery complete healing with six weeks after rehabilitation showed significant differences in both nasalance and articulation.</p></sec><sec id="st4"><title>Conclusion:</title><p>Providing an obturator improves the speech closer to presurgical levels of articulation and there is improvement in nasality also.</p></sec></abstract><kwd-group><kwd>Maxillectomy</kwd><kwd>Nasalance</kwd><kwd>Obturator</kwd><kwd>Speech analysis</kwd><kwd>Speech intelligibility</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Kumar, Pravesh" sort="Kumar, Pravesh" uniqKey="Kumar P" first="Pravesh" last="Kumar">Pravesh Kumar</name></noRegion><name sortKey="Jain, Veena" sort="Jain, Veena" uniqKey="Jain V" first="Veena" last="Jain">Veena Jain</name><name sortKey="Thakar, Alok" sort="Thakar, Alok" uniqKey="Thakar A" first="Alok" last="Thakar">Alok Thakar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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