음성 폐쇄상을 이용한 구개열 환자의 언어치료의 증례 보고 - 장착 후 제거까지의 경과 -

USING THE SPEECH AID FOR TREATMENT OF VELOPHARYNGEAL INCOMPETENCY IN INCOMPLETE CLEFT PALATE - A CASE REPORT -

  • 임대호 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 윤보근 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 백진아 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소) ;
  • 신효근 (전북대학교 치과대학 구강악안면외과학교실, 전북대학교 구강생체과학연구소)
  • Leem, Dae-Ho (Department of Oral & Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Yoon, Bo-Keun (Department of Oral & Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Baik, Jin-A (Department of Oral & Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral & Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University)
  • 발행 : 2006.09.30

초록

Velopharyngeal function refers to the combined activity of the soft palate and pharynx in closing and opening the velopharyngeal port to the required degree. In normal speech, various muscles of palate & pharynx function as sphincter and occlude the oropharynx from the nasopharynx during the production of oral consonant sounds. Inadequate velopharyngeal function caused by neurologic disorder - cerebral apoplexy, regressive diseases - disseminated sclerosis, Parkinson's disease, congenital deformity - cleft palate, cerebral palsy and etc. may result in abnormal speech characterized by hypernasality, nasal emission and decreased intelligibility of speech due to weak consonant production. In our study, we constructed speech aids prosthesis - Speech bulb in the incomplete cleft palate VPI patient with hypernasality and assessed velopharyngeal function with nasometer which can evaluate the speech characteristics objectively.

키워드

참고문헌

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