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舌及口底切除术后的构音功能:腭测量和感知评估。

Articulatory function after resection of the tongue and floor of the mouth: palatometric and perceptual evaluation.

作者信息

Imai S, Michi K

机构信息

First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan.

出版信息

J Speech Hear Res. 1992 Feb;35(1):68-78. doi: 10.1044/jshr.3501.68.

Abstract

Linguapalatal contact patterns and the time course of changes in contacts during utterances of/asa, ata, a sa, aca/ were measured using electropalatography (EPG). The relations between these data and perceptual scores in 17 glossectomized patients after various surgical methods were examined. The linguapalatal contact patterns produced during perceptually less distorted sounds varied with the place and manner of articulation. Patterns having very few contacts or a posterior groove produced more distorted /s/ sounds; however, types of EPG patterns producing less distorted /s/ sounds were relatively frequent. Distortion of the and /c/ sounds was less often produced by variation of the EPG patterns, whereas /t/ sounds were most frequently judged to be highly distorted. Patterns that showed complete constriction along the dental arch or constriction on the anterior portion of the hard palate, as well as rapid release for plosion by the tongue tip, produced less distorted /t/ sounds. The results revealed that glossectomized patients often evidenced defective stop sounds. It was concluded that mobility rather than volume of the residual tongue is required to produce less distorted stops.

摘要

使用电子腭图(EPG)测量了发/asa、ata、asa、aca/音时舌腭接触模式以及发声过程中接触变化的时间进程。研究了17例接受不同手术方法的舌切除患者的这些数据与感知评分之间的关系。在感知上失真较小的声音产生的舌腭接触模式随发音部位和方式而变化。接触很少或有后沟的模式产生的/s/音失真更大;然而,产生失真较小的/s/音的EPG模式类型相对较多。/a/和/c/音的失真较少由EPG模式的变化引起,而/t/音最常被判定为失真严重。沿牙弓显示完全收缩或硬腭前部收缩以及舌尖快速爆破释放的模式产生的/t/音失真较小。结果表明,舌切除患者经常出现塞音缺陷。得出的结论是,要产生失真较小的塞音,需要的是残余舌的活动度而非体积。

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