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手术获得性上颌骨缺损修复术后语音评估

Evaluation of speech following prosthetic obturation of surgically acquired maxillary defects.

作者信息

Plank D M, Weinberg B, Chalian V A

出版信息

J Prosthet Dent. 1981 Jun;45(6):626-38. doi: 10.1016/0022-3913(81)90423-6.

DOI:10.1016/0022-3913(81)90423-6
PMID:6941016
Abstract

The speech intelligibility of patients who have undergone partial surgical resection of the maxilla was investigated. The intelligibility characteristics of connected discourse in each patient were compared under three experimental conditions: presurgical, postsurgical with immediate prosthetic obturation, and postsurgical with definitive prosthetic obturation. The ability of untrained listeners to differentiate between presurgical speech and postsurgical speech following definitive prosthetic treatment was also studied. Each subject recorded a standard passage of connected discourse, the Rainbow Passage, under the three conditions stated above. Each of the 24 recordings was then segmented into 23 phrases and presented over earphones to listeners. A group of 10 listeners evaluated each recording, or a total of 240 listeners was used. The recordings were graded by the number of words correctly written. Analysis of variance showed no significant loss in intelligibility across the three conditions. A group of 50 listeners than evaluated sentence pairs containing samples of presurgical speech and speech produced following surgery and definitive prosthetic obturation. Their task was to judge whether there was a difference between the two speech samples. This was done in a classroom over loudspeakers. Sign-test procedures revealed that listeners could differentiate presurgical speech samples from postsurgical speech with definitive prosthetic obturation in four of the eight patients studied.

摘要

对接受上颌骨部分手术切除的患者的言语清晰度进行了研究。在三种实验条件下比较了每位患者连贯话语的清晰度特征:术前、术后立即进行义齿阻塞和术后进行确定性义齿阻塞。还研究了未经训练的听众在确定性义齿治疗后区分术前言语和术后言语的能力。每位受试者在上述三种条件下录制了一段标准的连贯话语,即彩虹段落。然后将24段录音中的每一段分成23个短语,并通过耳机播放给听众。一组10名听众对每段录音进行评估,总共使用了240名听众。录音根据正确书写的单词数量进行评分。方差分析表明,在这三种条件下,清晰度没有显著损失。然后,一组50名听众对包含术前言语样本和术后及确定性义齿阻塞后产生的言语样本的句子对进行评估。他们的任务是判断两个言语样本之间是否存在差异。这是在教室里通过扩音器完成的。符号检验程序显示,在所研究的8名患者中,有4名患者的听众能够区分术前言语样本和术后确定性义齿阻塞后的言语样本。

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Evaluation of speech following prosthetic obturation of surgically acquired maxillary defects.手术获得性上颌骨缺损修复术后语音评估
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Evaluation of speech in patients with partial surgically acquired defects: pre and post prosthetic obturation.部分手术获得性缺损患者语音的评估:修复体阻塞前后
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Cureus. 2025 Feb 16;17(2):e79103. doi: 10.7759/cureus.79103. eCollection 2025 Feb.
2
Speech intelligibility, nasal resonance, and swallowing ability of maxillectomy patients with customized obturator: A non randomized controlled study.定制式赝复体修复上颌骨部分切除术后患者的言语可懂度、鼻音共鸣和吞咽能力:一项非随机对照研究。
J Indian Prosthodont Soc. 2021 Jul-Sep;21(3):249-255. doi: 10.4103/jips.jips_98_21.
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The Effect of Immediate Obturator Reconstruction after Radical Maxillary Resections on Speech and other Functions.
上颌骨根治性切除术后即刻闭孔重建对语音及其他功能的影响。
Dent J (Basel). 2018 Jun 21;6(3):22. doi: 10.3390/dj6030022.
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Speech therapy with obturator.使用闭孔器进行言语治疗。
J Indian Prosthodont Soc. 2010 Dec;10(4):197-9. doi: 10.1007/s13191-011-0044-2. Epub 2011 Feb 11.
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Gender difference in speech intelligibility using speech intelligibility tests and acoustic analyses.使用言语可懂度测试和声学分析研究言语可懂度的性别差异。
J Adv Prosthodont. 2010 Sep;2(3):71-6. doi: 10.4047/jap.2010.2.3.71. Epub 2010 Sep 30.
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Speech evaluation with and without palatal obturator in patients submitted to maxillectomy.对上颌骨切除患者使用和不使用腭阻塞器的语音评估。
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