Report on the Speech Intelligibility of a Glossectomee: Perceptual and Acoustic Observations

LaRiviere, Conrad; Seilo, Michael T.; Dimmick, Kenneth C.

doi:10.1159/000263987

Cited by 17 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rentschler and Mann (1980) showed that the more extensive the surgical resection of the tongue, the more severely intelligibility is impaired. However, it has been demonstrated that some patients still can produce intelligible speech despite absence of all or substantial parts of the tongue (Georgian, Logemann, &Fisher, 1982;LaRiviere, Seilo, & Dimmick, 1975;Luchsinger & Arnold, 1965).…”

Section: Speech Disorders Following Glossectomymentioning

confidence: 99%

Rehabilitation of Swallowing and Communication Following Glossectomy

LaBlance¹,

Kraus²,

Steckol³

1991

Rehabilitation Nursing

View full text Add to dashboard Cite

Patients who have had surgical removal of part or all of the tongue are left with varying degrees of swallowing and speech deficiencies. The extent of resection, mobility of the residual tongue segment, and adequacy of the remaining structures determine the amount and type of deficiency. While communicative impairment and dysphagia commonly are seen in a rehabilitation setting, the problems of the glossectomy patient often are unique. This article reviews the anatomy and physiology of the oral and pharyngeal musculature, discusses the speech and swallowing of the glossectomy patient, and presents nursing considerations for successful rehabilitation.

show abstract

Section: Speech Disorders Following Glossectomymentioning

confidence: 99%

Rehabilitation of Swallowing and Communication Following Glossectomy

LaBlance¹,

Kraus²,

Steckol³

1991

Rehabilitation Nursing

View full text Add to dashboard Cite

show abstract

“…Intelligibility was taken as speech comprehension adequate for normal daily life. Most previous articula tory tests have used recorded methods (Skelly et al, 1971;La Riviere et al, 1975). but the visual component aids the imperfectly perceived auditory pattern (McCormack, in press 1980).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Articulation after Surgery to the Tongue

Bradley¹,

Hoover²,

Stell³

1980

Folia Phoniatr Logop

View full text Add to dashboard Cite

“…Both formant values are altered by the surgical procedure. The utilization of an F1-F2 chart has evidenced modifications after glossectomy and mandibulectomy, as well as formant shift on the vowels average frequency 18,19 . In the literature, several authors have reported changes in formant values as a consequence of more or less extensive resections of the tongue [13][14][15][16][17][18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

“…The utilization of an F1-F2 chart has evidenced modifications after glossectomy and mandibulectomy, as well as formant shift on the vowels average frequency 18,19 . In the literature, several authors have reported changes in formant values as a consequence of more or less extensive resections of the tongue [13][14][15][16][17][18][19][20] . On the other hand, speech intelligibility alterations are present in various neurodegenerative diseases in which the involvement of the lingual musculature results in an alteration of the articulatory dynamics and consequently in a modification of the phonatory joint, resonance and chewing [21][22][23][24][25][26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

Speech outcome in tongue cancer surgery: objective evaluation by acoustic analysis software

Lombardo

Piazzetta

Lobello

et al. 2021

Romanian Journal of Rhinology

View full text Add to dashboard Cite

BACKGROUND. Cancer of the oral cavity is one of the most common malignancies of which 60% affect the tongue. Carcinoma of the tongue causes significant alterations of the articulatory and swallowing functions. The gold standard of care remains primary surgical resection with or without postoperative adjuvant therapy. Whereas T1 and T2 tongue tumors can be treated with more conservative surgeries, as partial glossectomies, the larger tumors require total and aggressive glossectomies which increase survival, but, on the other hand, they might often make speech, chewing and swallowing impossible. MATERIAL AND METHODS. Our study was performed on a total of 21 patients with Squamous Cell Carcinoma of the tongue who underwent either partial resection or hemiglossectomy. Each subject (either surgical patients or controls) was asked to pronounce the vowels /a/, /e/, /i/, /u/, and all signals were evaluated separately by two operators. Acoustic (F0, jitter, shimmer, NHR) and vowel metric (the ratio F2i/F2u, tVSA, qVSA, FCR) features have been extracted. In order to define the speech intelligibility, all patients were evaluated by two doctors and one speech therapist and all patients received the Speech Handicap Index (SHI) translated into Italian language before recording. RESULTS. No statistically significant variations were observed, regardless of the gender, between controls and surgically resected patients when tumor staging was T1-T2. On the contrary, when patients had to undergo more extensive surgical resection due to the presence of a T3-T4 tumor, a dramatic increase of F2u could be observed. This change, together with a decrease of F2i, led to a highly significant reduction in the F2i/F2u parameter in surgically resected patients as compared to controls. The other parameters which were reduced in a statistically significant manner in T3-T4 surgically resected patients were tVSA and qVSA. Instead, two parameters increased in a statistically significant manner in T3-T4 surgically resected patients: FCR and SHI. Again, none of the above-mentioned parameters was altered in a statistically significant manner in early tumor stage resected patients, regardless of the gender. CONCLUSION. For the first time, we used a series of newly developed formant parameters, introduced by various authors for the study of the articulatory undershoot of the tongue in various neurodegenerative diseases. The statistical analysis of our results highlighted in an incontrovertible way a strong correlation and significance of each of our parameters F2 / i / / F2 / u /, FCR, tVSA, qVSA, with the entity of the TNM, and therefore of the surgical extension of the resection, and in parallel with the loss of the intelligibility of the speech that proportionally reaches higher values in the advanced stages of the disease as can be deduced from the SHI trend.

show abstract

Report on the Speech Intelligibility of a Glossectomee: Perceptual and Acoustic Observations

Cited by 17 publications

References 14 publications

Rehabilitation of Swallowing and Communication Following Glossectomy

Rehabilitation of Swallowing and Communication Following Glossectomy

Assessment of Articulation after Surgery to the Tongue

Speech outcome in tongue cancer surgery: objective evaluation by acoustic analysis software

Contact Info

Product

Resources

About