Bhushan Purnendu, Raj Kavita, Hota Sadananda, Mishra Debasish, Raut Anjana, Mohanty Arun K
Department of Prosthodontics, Kalinga Institute of Dental Sciences, Kalinga Institute of Industrial Technology (KIIT) Deemed to be University, Bhubaneswar, Odisha, India.
Department of Dentistry, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S467-S470. doi: 10.4103/jpbs.jpbs_642_22. Epub 2023 Jul 5.
The aim of the present study was to assess the speech analysis in acquired maxillary defect patients treated with maxillary obturator.
Total of 16 patients were considered in the study. The age group of these patients ranged from 40 to 75 years with a mean age of 59.5 years, irrespective of their gender. The surgical obturator was fabricated using self-cure acrylic. The surgical obturator was delivered immediately after surgery. After a healing period of about 2 weeks, the surgical obturator was replaced by an interim prosthesis. This was processed with the help of heat-cure polymethylmethacrylate. The total number of patients was divided into two groups, namely, (A) Definitive obturator group and (B) Interim obturator group. The speech intelligibility (SI), was analyzed.
The mean scores for SI before prosthesis in definitive and interim groups were 19.13 ± 3.22 and 19.87 ± 1.72, respectively. This was increased after prosthesis insertion to 24.38 ± 1.30 and 22.37 ± 1.18, which further increased after adaptation period of 2 months to 28.75 ± 1.28 and 24.62 ± 1.59 in two groups.
The present study concluded that speech was severely affected by maxillary resection and that rehabilitation with maxillary obturator was successful in restoring these aspects of speech.
本研究的目的是评估采用上颌阻塞器治疗的获得性上颌骨缺损患者的语音分析情况。
本研究共纳入16例患者。这些患者的年龄在40至75岁之间,平均年龄为59.5岁,不限性别。手术阻塞器采用自凝丙烯酸制作。手术阻塞器在手术后立即佩戴。经过约2周的愈合期后,手术阻塞器被临时修复体取代。临时修复体借助热凝聚甲基丙烯酸甲酯制作。患者总数分为两组,即(A)永久性阻塞器组和(B)临时阻塞器组。对语音清晰度(SI)进行了分析。
永久性阻塞器组和临时阻塞器组在佩戴修复体前SI的平均得分分别为19.13±3.22和19.87±1.72。佩戴修复体后,得分分别提高到24.38±1.30和22.37±1.18,在经过2个月的适应期后,两组得分进一步提高到28.75±1.28和24.62±1.59。
本研究得出结论,上颌骨切除严重影响语音,而上颌阻塞器修复成功恢复了语音的这些方面。