Matiakin E G, Chuchkov V M, Akhundov A A, Azizian R I, Romanov I S, Chuchkov M V, Agapov V V
Vestn Otorinolaringol. 2009(5):43-6.
Speech quality was evaluated in 188 patients with acquired maxillary defects. Prosthetic treatment of 29 patients was preceded by pharmacopsychotherapy. Sixty three patients had lessons with a logopedist and 66 practiced self-tuition based on the specially developed test. Thirty patients were examined for the quality of speech without preliminary preparation. Speech quality was assessed by auditory and spectral analysis. The main forms of impaired speech quality in the patients with maxillary defects were marked rhinophonia and impaired articulation. The proposed analytical tests were based on a combination of "difficult" vowels and consonants. The use of a removable prostheses with an obturator failed to correct the affected speech function but created prerequisites for the formation of the correct speech stereotype. Results of the study suggest the relationship between the quality of speech in subjects with maxillary defects and their intellectual faculties as well as the desire to overcome this drawback. The proposed tests are designed to activate the neuromuscular apparatus responsible for the generation of the speech. Lessons with a speech therapist give a powerful emotional incentive to the patients and promote their efforts toward restoration of speaking ability. Pharmacopsychotherapy and self-control are another efficacious tools for the improvement of speech quality in patients with maxillary defects.
对188例获得性上颌骨缺损患者的语音质量进行了评估。29例患者在进行修复治疗前接受了药物心理治疗。63例患者接受了言语治疗师的课程培训，66例患者根据专门制定的测试进行自学。30例患者在没有初步准备的情况下接受了语音质量检查。通过听觉和频谱分析评估语音质量。上颌骨缺损患者语音质量受损的主要形式为明显的鼻音过重和发音障碍。所提出的分析测试基于“难发”元音和辅音的组合。使用带有闭孔器的可摘义齿未能纠正受影响的言语功能，但为形成正确的言语定型创造了前提条件。研究结果表明，上颌骨缺损患者的语音质量与其智力以及克服这一缺陷的愿望之间存在关联。所提出的测试旨在激活负责言语产生的神经肌肉装置。言语治疗师的课程给患者提供了强大的情感激励，并促进他们为恢复说话能力而努力。药物心理治疗和自我控制是改善上颌骨缺损患者语音质量的另一有效工具。
