Impact of tongue reduction on overall speech intelligibility, articulation and oromyofunctional behavior in 4 children with Beckwith-Wiedemann syndrome.
Folia Phoniatr Logop
; 64(2): 55-63, 2012.
Article
en En
| MEDLINE
| ID: mdl-22095257
ABSTRACT
OBJECTIVE:
The purpose of this study was to determine the impact of partial glossectomy (using the keyhole technique) on speech intelligibility, articulation, resonance and oromyofunctional behavior. PATIENTS ANDMETHODS:
A partial glossectomy was performed in 4 children with Beckwith- Wiedemann syndrome between the ages of 0.5 and 3.1 years. An ENT assessment, a phonetic inventory, a phonemic and phonological analysis and a consensus perceptual evaluation of speech intelligibility, resonance and oromyofunctional behavior were performed.RESULTS:
It was not possible in this study to separate the effects of the surgery from the typical developmental progress of speech sound mastery. Improved speech intelligibility, a more complete phonetic inventory, an increase in phonological skills, normal resonance and increased motor-oriented oral behavior were found in the postsurgical condition. The presence of phonetic distortions, lip incompetence and interdental tongue position were still present in the postsurgical condition.CONCLUSION:
Speech therapy should be focused on correct phonetic placement and a motor-oriented approach to increase lip competence, and on functional tongue exercises and tongue lifting during the production of alveolars. Detailed analyses in a larger number of subjects with and without Beckwith-Wiedemann syndrome may help further illustrate the long-term impact of partial glossectomy.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos de la Articulación
/
Síndrome de Beckwith-Wiedemann
/
Glosectomía
/
Macroglosia
Tipo de estudio:
Etiology_studies
Límite:
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
Folia Phoniatr Logop
Asunto de la revista:
PATOLOGIA DA FALA E LINGUAGEM
Año:
2012
Tipo del documento:
Article
País de afiliación:
Bélgica