Postglossectomy Deglutitory and Articulatory Rehabilitation With Palatal Augmentation Prostheses

Kt, Robbins; Jb, Bowman; Rf, Jacob

doi:10.1001/archotol.1987.01860110080012

Cited by 70 publications

(31 citation statements)

References 3 publications

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“…3), and disappeared at each measurement position almost simultaneously. Some subjects produced tongue pressure at the lateral position earlier than or at the same time as at the mesioanterior position.…”

Section: Discussionmentioning

confidence: 91%

“…For patients who have undergone surgery for tongue cancer, a palatal augmentation prosthesis may be applied to compensate for decreased contact between the tongue and hard palate [1][2][3]. Up to now dynamic palatography [4,5] and measurement of tongue pressure have been used to evaluate the degree of tongue-palate contact [6][7][8][9], but these methods have limitations when evaluating tongue pressure during mastication and swallowing.…”

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confidence: 99%

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Pattern of Tongue Pressure on Hard Palate During Swallowing

2004

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Contact of the tongue against the hard palate plays an important role in swallowing. This study aimed to clarify the pattern of contact between the tongue and hard palate by analyzing tongue pressure produced in swallowing 15 ml of water by healthy subjects wearing an experimental palatal plate with seven pressure sensors. Tongue pressure was generated initially by close contact with the anteriomedian part of the hard palate, then with the circumferential part, and finally softly with the posteriomedian part. Tongue pressure reached a peak quickly, then decreased gradually before disappearing almost simultaneously at each measured part of the hard palate. Magnitude and duration were significantly larger in the anteriomedian part compared to the other six parts measured, and was significantly smaller in the posteriomedian part. No laterality was found in tongue pressure produced at the circumferential parts of the hard palate. Our findings indicate that the order of tongue contact against each part of the hard palate as well as duration and magnitude of tongue pressure are coordinated precisely during swallowing. These findings could aid assessment of the tongue movement of dysphagic patients during rehabilitation.

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Section: Discussionmentioning

confidence: 91%

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confidence: 99%

Pattern of Tongue Pressure on Hard Palate During Swallowing

2004

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“…Semi-standardized instruments for the analysis of speech disorders in children and adults are well known (Panchal et al (1996); Paulowski et al (1998); Mády et al (2003); Enderby (2004)). These subjective methods are still the most commonly used to assess speech intelligibility (Robbins et al (1987); Bodin et al (1994); Brown et al (1997); Knuuttila et al (1999); Haughey et al (2002); Seikaly et al (2003); Markkanen-Leppanen et al (2006)), speech disorders and temporal structure of speech (Mahanna et al (1998); Pauloski et al (1998); Furia et al (2001); Su et al (2003); Bressmann et al (2004); Terai and Shimahara (2004)). Until now, automatic diagnostic tools for the assessment of speech after treatment have only been performed for single aspects such as the quantification of nasalance as in Kuttner et al (2003) and spectral characteristics and intensity of the voice signal as in Zečević (2002).…”

Section: Introductionmentioning

confidence: 99%

PEAKS – A system for the automatic evaluation of voice and speech disorders

Maier

Haderlein

Eysholdt

et al. 2009

Speech Communication

132

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We present a novel system for the automatic evaluation of speech and voice disorders. The system can be accessed via the internet platform-independently. The patient reads a text or names pictures. His or her speech is then analyzed by automatic speech recognition and prosodic analysis. For patients who had their larynx removed due to cancer and for children with cleft lip and palate we show that we can achieve significant correlations between the automatic analysis and the judgment of human experts in a leave-one-out experiment (p<0.001). A correlation of .90 for the evaluation of the laryngectomees and .87 for the evaluation of the children's data was obtained. This is comparable to human inter-rater correlations.

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“…Therefore, a panel of several listeners is often used for scientific evaluation of speech. This method is still the most widely used technique for assessing speech intelligibility [12][13][14][15][16][17][18][19][20] , phonematic disorders and temporal structure of speech [21][22][23][24][25][26] . For more reliable results, transcription tasks and multiple-choice tasks for several listeners have been found to be appropriate [7,9,15,17,19,21,25] .…”

Section: Introductionmentioning

confidence: 99%

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

Windrich

Maier²,

Köhler³

et al. 2008

Folia Phoniatr Logop

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Objective: It has been the aim of the present study to introduce a novel automatic technique for the objective and quantitative assessment of speech intelligibility to the evaluation of postoperative outcome. Patients and Methods: Forty-six patients with oral carcinomas, mean age 59.8 ± 10.1 years, and an age-matched control group of 40 subjects without oral diseases. Recordings of a standard text read by the patients and the control group were analyzed by an automatic speech recognition system. Results: For the patients, automatic speech recognition yielded word recognition rates between 8 and 82% (mean 49 ± 19%), for the control group between 60 and 91% (76 ± 7%). Automatic evaluation closely correlated with the experts’ perceptual evaluation of intelligibility (r = –0.93; p < 0.01). The multi-rater kappa of the experts alone (0.55) differed only slightly from the multi-rater kappa of the experts and the speech recognition system (0.58). Conclusion: For adults with speech disorders, automatic speech recognition may serve as a valuable tool to assess global speech outcome after treatment of oral squamous cell carcinoma objectively and quantitatively for clinical and research purposes.

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Postglossectomy Deglutitory and Articulatory Rehabilitation With Palatal Augmentation Prostheses

Cited by 70 publications

References 3 publications

Pattern of Tongue Pressure on Hard Palate During Swallowing

Pattern of Tongue Pressure on Hard Palate During Swallowing

PEAKS – A system for the automatic evaluation of voice and speech disorders

Automatic Quantification of Speech Intelligibility of Adults with Oral Squamous Cell Carcinoma

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