Speech considerations in oral surgery

In dealing with reconstruction of the oral cavity postcomposite resection, many options are available. Maximization of function with minimization of complications, physiologic sequelae, and cost must be considered. Fifty consecutive patients who underwent composite resections and were reconstructed by split-thickness skin grafts were analyzed. Factors examined included: number of blood units transfused, disease status vs. stage, length of hospital stay, complications, use of prosthetic devices for aiding in swallowing and speech production, and patient diet at discharge. This evaluation and literature review revealed that the amount of tissue resection was considered to be the most significant functional determinant, followed by maintenance of residual tissue mobility. The use of a split-thickness skin graft was believed to give excellent results for the previously mentioned parameters and is our preferred method for reconstruction of composite resection defects that do not require tissue bulk as in anterior mandible defects, anticipated mandible reconstruction, total or near-total glossectomy, or very massive defects.

show abstract

“…Hufnagle et al 9. '0 analyzed the mechanism of speech in terms of a muscular tube that extends from the glottis to the base of the skull.…”

Section: Discussionmentioning

confidence: 99%

Composite Resection Reconstruction: Split‐Thickness Skin Graft—A Preferred Option

Zieske

Johnson

Myers

et al. 1988

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…In prior research, it is shown that oncological treatment of oral cancer can be accompanied with impaired speech capabilities, including articulation and intelligibility [4,5,6]. Subsequent research found reduced speech abilities even after extensive recovery periods up to 12 months after surgical intervention [7].…”

Section: Introductionmentioning

confidence: 99%

Behavioral Analysis of Pathological Speaker Embeddings of Patients During Oncological Treatment of Oral Cancer

Thienpondt¹,

Speksnijder²,

Demuynck³

2023

Interspeech 2023

View full text Add to dashboard Cite

In this paper, we analyze the behavior of speaker embeddings of patients during oral cancer treatment. First, we found that preand post-treatment speaker embeddings differ significantly, notifying a substantial change in voice characteristics. However, a partial recovery to pre-operative voice traits is observed after 12 months post-operation. Secondly, the same-speaker similarity at distinct treatment stages is similar to healthy speakers, indicating that the embeddings can capture characterizing features of even severely impaired speech. Finally, a speaker verification analysis signifies a stable false positive rate and variable false negative rate when combining speech samples of different treatment stages. This indicates robustness of the embeddings towards other speakers, while still capturing the changing voice characteristics during treatment. To the best of our knowledge, this is the first analysis of speaker embeddings during oral cancer treatment of patients.

show abstract

Skin graft reconstruction of the composite resection defect

Alvi

Myers

1996

Head Neck

View full text Add to dashboard Cite

Speech considerations in oral surgery

Cited by 13 publications

References 1 publication

Composite Resection Reconstruction: Split‐Thickness Skin Graft—A Preferred Option

Composite Resection Reconstruction: Split‐Thickness Skin Graft—A Preferred Option

Behavioral Analysis of Pathological Speaker Embeddings of Patients During Oncological Treatment of Oral Cancer

Skin graft reconstruction of the composite resection defect

Contact Info

Product

Resources

About