DIAGNOSTIC FEATURES OFSPEECH DISORDERS IN CANCER PATIENTS WITH ACQUIRED MAXILLARY DEFECTS
Abstract
The review describes the mechanisms of speech production, the causes and characteristics associated with impaired speech in patients with acquired maxillar defects. The use of diagnostic sounds specific for patients with acquired maxillar defects is justified in order to control the quality of the reconstructed speech. Timbre, acoustic characteristics of vowels, as well as expert evaluation of objective parameters of speech can not serve as the basic factors of the quality of the reconstructed speech. In contrast, the criteria for formal evaluation of speech quality are the changes in the frequency range of sounds, occurrence or loss of certain formants and the change in time of the overall tone sounds and phonemes. Подобные изменения легко фиксируются такими инструментальными средствами, как спектральный анализ и анализ амплитудограммы. For objective research it is necessary to use two letter sounds composed of vowels and consonants, allowing diagnostic sounds in the context to be studied, however, the effects of coarticulation and prosody are minimized. The use of formal features of specific sounds allows the subjective assessment of speech quality to be minimized.
About the Author
I. S. Korzhov
A.I. Evdokimov Moscow State Medical and Dental University, Moscow
Russian Federation
Russian Federation
References
1. Aldoshina I.A. Basics of psychoacoustics, part 14. Timbre, part 1// Zvukorezhisser. 2001. № 2.
2. Bizjaev A.A., Konnov V.V., Lepilin A.V., Maslennikov D.N., Bizjaeva N.D. Modern methods of monitoring of phonetic adaptation of patients to orthopedic constructions of dentures // Saratovskij nauchno-medicinskij zhurnal. 2011. Vol. 7 (2). P. 474–477.
3. Galonsky V.G., Radkevich A.A., Kazantseva T.V. Immediate orthopedic actions after maxillary resection // Sibirskij medicinskij zhurnal (Irkutsk). 2009. № 4. P. 59–62.
4. Gorjacheva Ju.V., Knjazev S.V., Pozharickaja S.K. The ratio of initiation, phonation and articulation as an element of dialect speech database (based on the dialect of Deulino village) / Fonetika i nefonetika. K 70-letiju Sandro V. Kodzasova / Eds. A.V. Arhipov, O.V. Fedorova. Jazyki slavjanskih kul’tur. M., 2008. P. 352–368.
5. Cancer incidence (morbidity and mortality) in Russia in 2011 / Eds. V.I. Chissov, V.V. Starinskij, G.V. Petrova. M., 2013. 289 p. [in Russian]
6. Kodzasov S.V., Krivnova O.F. General Phonetics. М., 2001. 592 p.
7. Kurljandskij V.Ju. Prosthodontics, traumatology, maxillofacial prosthetics. Atlas.М., 1970. Vol. 2. 403 p.
8. Malginov N.N., Reshetov I.V., Zubkov A.F., Korzhov I.S. Diagnosis of speech disorders and ways of their elimination in patients with acquired defects of the upper jaw // Rossijskij stomatologicheskij zhurnal. 2014. Vol. 18 (6). P. 45–50.
9. Matiakin E.G., Chuchkov V.M., Akhundov A.A., Azizian R.I., Romanov I.S., Chuchkov M.V., Agapov V.V. Restoration of speech function in oncological patients with maxillary defects // Vestnik otorinolaringologii. 2009. № 5. P. 43–46.
10. Normal physiology: Training modules for students’ independent work / Ed. by V.N. Jakovlev. Voronezh, 2005. 528 p.
11. Pisareva L.F., Ananina O.A., Odintsova I.N., Perinov D.A., Khryapenkov A.V. Cancer incidence in administrative centers of Siberia and the Russian Far East (1998-2012) // Sibirskij onkologicheskij zhurnal. 2014. № 4. P. 5–10.
12. Reshetov I.V., Malginov N.N., Starinskii V.V., Korzhov I.S., Polyakov A.P., Sevryukov F.E. Problems of oral cavity tumors diagnostics and interdisciplinary patients routing // Golova i sheja. 2014. № 4. P. 13–16.
13. Sudakov K.V. Systemic mechanisms of mental activity // Zhurnal nevrologii i psihiatrii. 2010. № 2. P. 4–14.
14. Firsova I.V., Mihal’chenko D.V., Mihal’chenko A.V., Poroshin A.V. The technique of phonetic adaptation optimization in patients after dental treatment as a way of improving quality of medical care // Saratovskij nauchno-medicinskij zhurnal. 2012 Vol. 8 (1). P. 114–116.
15. Fomicheva M.F., Volosovec T.V., Kutepova E.N. Fundamentals of speech therapy with practicum on sound pronunciation / Ed. by T.V. Volosovec. M., 2002. 200 p.
16. Jusupova Z.H. Integrated rehabilitation for patients with postoperative maxillary defects: MD., PhD. thesis. Dushanbe, 2005. 147 p. 147 p.
17. Baylor C., Burns M., Eadie T., Britton D., Yorkston K. A qualitative study of interference with communicative participation across communication disorders in adults // Am. J. Speech. Lang. Pathol. 2011. Vol. 20 (4). P. 269–287. doi: 10.1044/1058-0360(2011/10-0084).
18. Cnossen I.C., de Bree R., Rinkel R.N., Eerenstein S.E., Rietveld D.H., Doornaert P., Buter J., Langendijk J.A., Leemans C.R., Verdonck-de Leeuw I.M. Computerized monitoring of patient-reported speech and swallowing problems in head and neck cancer patients in clinical practice // Support Care Cancer. 2012. Vol. 20 (11). P. 2925–2931. doi: 10.1007/s00520-012-1422-y.
19. Dwivedi R.C., Kazi R.A., Agrawal N., Nutting C.M., Clarke P.M., Kerawala C.J., Rhys-Evans P.H., Harrington K.J. Evaluation of speech outcomes following treatment of oral and oropharyngeal cancers // Cancer Treat. Rev. 2009. Vol. 35 (5). P. 417–424. doi: 10.1016/j.ctrv.2009.04.013.
20. Egiazaryan G.G., Sudakov K.V. Theory of functional systems in the scientific school of P.K. Anokhin // J. Hist. Neurosci. 2007. Vol. 16 (1–2). P. 194–205.
21. Frank T. ANSI update: maximum permissible ambient noise levels for audiometric test rooms // Am. J. Audiol. 2000. Vol. 9 (1). P. 3–8.
22. Kokubyo Gakkai Zasshi. Speech Outcomes in Patients Rehabilitated with Maxillary Obturator Prostheses After Maxillectomy: A Prospective Study // Measurement of Voice Onset Time in Maxillectomy Patients. 2013. Vol. 80 (2). P. 49–53.
23. Kumar P., Jain V., Thakar A. Speech Rehabilitation of Maxillectomy Patients with Hollow Bulb Obturator // Indian J. Palliat. Care 2012. Vol. 18 (3). P. 207–212. doi: 10.4103/0973-1075.105692.
24. Loureiro A.M., Hugo B. de Paula, Yehia H.C. Timbre classification of a single musical instrument. CEFALA: Brazil, 2004. 4 p.
25. Riede T., Zuberbühler K. Pulse register phonation in Diana monkey alarm calls // J. Acoust. Soc. Am. 2003. Vol. 113 (5). P. 2919–2926.
26. Williams C.E., Stevens K.N. Emotions and speech: some acoustical correlates // J. Acoust. Soc. Am. 1972. Vol. 52 (4). P. 1238–1250.
27. Zerbeto A.B., Chun R.Y. Quality of life of caregivers of children and adolescents with speech and language disorders // Codas. 2013. Vol. 25 (2). P. 128–134.
Review
For citations:
Korzhov I.S. DIAGNOSTIC FEATURES OFSPEECH DISORDERS IN CANCER PATIENTS WITH ACQUIRED MAXILLARY DEFECTS. Siberian journal of oncology. 2015;1(1):84-88. (In Russ.)
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