唇腭裂患者正颌手术后语言功能的舌超声研究。

IF 1.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Griffin Lowry, Erika Rezende Silva, Jeannene Matthews, Ayumi Shoji, Timothy Turvey, George Blakey, David Zajac, Jeff Mielke, Laura Anne Jacox
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引用次数: 0

摘要

目的:本研究通过超声显像、空气动力学评估和术后发音分析,评估正颌手术对III类(下牙)唇腭裂(CLP)修复患者发音的影响,以评估手术对发音、腭咽(VP)功能和鼻上音的影响。材料与方法:对5例修复型CLP III类患者、5例未修复型CLP III类患者和5例ⅰ类对照患者的舌形进行术前、术后超声显像观察。采用超声技术计算舌背偏移指数(TCPI)和舌约束位置指数(TCPI),采用压力流量评估法测量VP功能不全(VPI)指数,并与语音语言病理学家(slp)的定性知觉评分进行比较。采用线性混合效应模型检验术后各辅音间Dorsum偏移指数和TCPI的显著变化。压力流量措施预计估计VP间隙大小在讲话期间使用PERCI-SARS。结果:CLP患者的/k/前元音和后元音的背偏移指数(p = 0.001)明显低于对照组(p = 0.001)。结论:与对照组相比,CLP患者的背偏移指数和TCPI均较低,说明CLP患者的舌位更靠前。背偏移指数和TCPI可以用来了解舌形和运动变化,潜在地阐明颌骨手术对语言功能的影响。背侧偏移指数和压力流量数据表明,CLP患者正颌手术后代偿性关节和VPI增加,影响言语。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Lingual Ultrasound Study of Speech in Patients With Cleft Lip and Palate Following Orthognathic Surgery.

Objectives: This study evaluated the effects of orthognathic surgery on speech of Class III ('underbite') patients with repaired cleft lip and palate (CLP) through ultrasound imaging, aerodynamic assessment and articulatory analyses before and after surgery to evaluate how surgery impacts articulation, velopharyngeal (VP) function and hypernasality.

Materials and methods: Tongue gestures of five Class III patients with repaired CLP, five Class III patients without CLP and five Class I controls were visualised through ultrasound imaging pre- and post-surgery. Tongue Dorsum Excursion Index and Tongue Constraint Position Index (TCPI) were calculated using ultrasound, and VP insufficiency (VPI) indices were measured using pressure flow assessment and compared with qualitative-perceptual ratings by Speech-Language Pathologists (SLPs). Linear mixed-effects models were used to test for significant post-operative changes in Dorsum Excursion Index and TCPI among consonants. Pressure flow measures are expected to estimate VP gap size during speech using PERCI-SARS.

Results: Patients with CLP had significantly lower Dorsum Excursion Index for /k/ before front (p = 0.001) and back vowels (p < 0.001). TCPI revealed consistently lower values for patients with CLP than controls and Class III patients, with inter- and intra-speaker variation for all consonants. Pressure flow data of two patients with CLP showed evidence of VPI and altered nasality post-surgery.

Conclusion: Patients with CLP present with lower Dorsum Excursion Index and TCPI when compared to controls, suggesting more anterior tongue positioning. Dorsum Excursion Index and TCPI can be used to understand tongue shape and movement changes, potentially elucidating functional effects of jaw surgery on speech. Dorsum Excursion Index and pressure flow data indicate increased compensatory articulations and VPI after orthognathic surgery for patients with CLP, impacting speech.

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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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