舌全摘出患者の構音改善の一工夫

概要

論文の詳細を見る
It is well known that patients who undergo total or subtotal glossectomy have severe articulation disorders. Conventional speech therapies do not yield remarkable improvement for such articulation disorders. To improve the intelligibility of her speech, the faulty articulations of cleft palate speech were taught to one female patient. Instead of dentals, alveolars and velars, we taught her the faulty articulations of glottal stops, laryngeal fricatives, and laryngeal affricatives in which the epiglottis, arytenoids and epiglottic base were used during articulation.Therapeutic procedures were as follows; 1) explanation of the articulation manner. 2) demonstration of glottal stops, laryngeal fricatives and africatives. 3) simulation by a patient. Following these procedures, it was quite easy for her to acquire the substitutive articulations. After 3 months of this speech therapy, the speech intelligibility of this patient was significantly improved.Our procedures would provide a compass needle to the patients who undergo glossectomy how they train their remaining articulatory functions.
耳鼻咽喉科臨床学会の論文