McKinstry R E, Aramany M A, Beery Q C, Sansone F
J Prosthet Dent. 1985 Mar;53(3):384-7. doi: 10.1016/0022-3913(85)90518-9.
A knowledge of normal articulation is needed before the prosthodontist can assess the compensatory articulation used by glossectomy patients. The amount and portion of tongue resected is directly correlated with speech intelligibility. The loss of the tip of the tongue is more critical to intelligibility than a hemiglossectomy. Partial glossectomy speakers can often use the residual tongue stump to perform adaptive movements that approximate normal movements and should be treated as an articulation problem. The compensatory articulation used by the total glossectomy patient was reviewed. The prosthodontic management of patients with partial tongue resection often includes lowering the palatal vault, while the management of the total glossectomy patient usually requires a mandibular tongue prosthesis. These prostheses can be refined with the use of multiview videofluoroscopy, videotaping, and spectrographic analysis.
在口腔修复医生能够评估舌切除术患者所使用的代偿性发音之前，需要了解正常发音。切除舌头的数量和部位与言语清晰度直接相关。舌尖的缺失对清晰度的影响比半舌切除术更为关键。部分舌切除术患者通常可以利用残留的舌残端进行近似正常运动的适应性运动，应将其视为发音问题进行处理。本文回顾了全舌切除术患者所使用的代偿性发音。部分舌切除术患者的口腔修复治疗通常包括降低腭穹窿，而全舌切除术患者的治疗通常需要下颌舌假体。这些假体可以通过多视角荧光透视、录像和频谱分析进行优化。
