Mahanna G K, Beukelman D R, Marshall J A, Gaebler C A, Sullivan M
Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center, Omaha, USA.
J Prosthet Dent. 1998 Mar;79(3):310-6. doi: 10.1016/s0022-3913(98)70243-4.
This article describes a speech assessment protocol for patients using either obturator prostheses or speech aid prostheses for surgically acquired defects due to cancer of the maxilla and/or soft palate.
This protocol is structured according to the executive summary of "Disability in America: Toward a National Agenda For Prevention" a report formulated by the Institute of Medicine that describes four levels of disorder: (1) pathology, (2) impairment, (3) functional limitation, and (4) disability. Assessment instruments included (1) the Sentence Intelligibility Test to measure the rate and understandability of speech, (2) a speech physiology system to measure appropriate separation of the nasal/nasopharyngeal and oral compartments, (3) a 13-point interval scale to rate speech nasality, and (4) a scale to rate self-perceptions of communication effectiveness.
The results from two patients are reported to illustrate the outcome assessment protocol.
本文描述了一种针对因上颌骨和/或软腭癌症手术导致缺损而使用闭孔假体或言语辅助假体的患者的言语评估方案。
该方案是根据医学研究所制定的报告《美国的残疾：迈向全国预防议程》的执行摘要构建的，该报告描述了四个紊乱水平：（1）病理学，（2）损伤，（3）功能受限，以及（4）残疾。评估工具包括：（1）句子可懂度测试，用于测量言语的速率和可懂度；（2）言语生理系统，用于测量鼻腔/鼻咽和口腔腔室的适当分离；（3）13点间隔量表，用于评定言语鼻音；以及（4）评定沟通有效性自我认知的量表。
报告了两名患者的结果以说明结果评估方案。
