On the clinical evaluation of the speech following maxillectomy

Takeuchi, Kazuhiro; Ishikawa, Takenori; Shimosato, Tsunehiro; Okui, Kan; Nagahata, Hikaru; Dateoka, Yoichi; Mitsugi, Masaharu; Minematsu, Yoichiro

doi:10.5794/jjoms.27.1045

Cited by 1 publication

(3 citation statements)

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“…However, there have been few reports on a relationship between SI without a prosthesis and the grade of an oro-nasal communication following maxillectomy. Takeuchi et al (1983) indicated that SI without a prosthesis in ten maxillectomized patients was proportionally worse according to the grade of communication between sinus, oral cavity and nasal cavity. Our results essentially agreed with theirs and demonstrated that the wide variation in SI without a prosthesis among patients (Majid et al, 1974) was attributed to differences in the oro-nasal communication following maxillectomy.…”

Section: Discussionmentioning

confidence: 96%

“…However, there have been few reports on a relationship between SI without a prosthesis and the grade of an oro–nasal communication following maxillectomy. Takeuchi et al . (1983) indicated that SI without a prosthesis in ten maxillectomized patients was proportionally worse according to the grade of communication between sinus, oral cavity and nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Speech disorder is an important clinical postmaxillectomy problem. Although a maxillary prosthesis can improve speech intelligibility (SI) in patients with acquired surgical defects of the maxilla, differences in the extent and site of the maxillectomy and remaining teeth influence the outcome (Kipfmuller & Lang 1972;Majid, Weinberg & Chalin 1974;Curtis & Beumer 1979;Takeuchi, Ishikawa & Shimosato 1983;Yoshida, Michi & Ohsawa 1990). However, the relationship has not been defined clearly because most of the past studies evaluated a few cases only.…”

Section: Introductionmentioning

confidence: 99%

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Speech intelligibility following maxillectomy with and without a prosthesis: an analysis of 54 cases

Umino

Masuda

Ono

et al. 1998

J of Oral Rehabilitation

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To statistically evaluate the factors that influenced speech following maxillectomy, the speech intelligibility (SI) in 54 patients was measured with and without a prosthesis. The mean SI score without a prosthesis in all patients was 35.7 +/- 22.7% and that with a prosthesis was 84.9 +/- 12.7%. The results of the postmaxillectomy SI statistical analysis revealed that an oro-nasal communication was one of the factors that influenced SI without a prosthesis. The resection of the anterior portion of the soft palate was one of the factors that influenced SI with a prosthesis, which suggested that for some of these patients we should consider specific surgical treatment, aimed at the reconstruction in the deep defect extending to the intratemporal fossa. A new classification of maxillary defects has been proposed which will help to predict the grade of post-maxillectomy speech disorder following surgery.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%