PMID: 9553885Apr 29, 1998Paper

Obturator prostheses after cancer surgery: an approach to speech outcome assessment

The Journal of Prosthetic Dentistry
G K MahannaM Sullivan

Abstract

This article describes a speech assessment protocol for patients using either obturator prostheses or speech aid prostheses for surgically acquired defects due to cancer of the maxilla and/or soft palate. This protocol is structured according to the executive summary of "Disability in America: Toward a National Agenda For Prevention" a report formulated by the Institute of Medicine that describes four levels of disorder: (1) pathology, (2) impairment, (3) functional limitation, and (4) disability. Assessment instruments included (1) the Sentence Intelligibility Test to measure the rate and understandability of speech, (2) a speech physiology system to measure appropriate separation of the nasal/nasopharyngeal and oral compartments, (3) a 13-point interval scale to rate speech nasality, and (4) a scale to rate self-perceptions of communication effectiveness. The results from two patients are reported to illustrate the outcome assessment protocol.

Citations

Mar 15, 2008·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·M WindrichM Schuster
Dec 5, 2019·Disability and Rehabilitation. Assistive Technology·Marjelle F ScheffersYetsa A Tuakli-Wosornu
Apr 24, 2012·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Sachet PopliAswini Kumar Kar
Jul 3, 2013·Journal of Prosthodontic Research·Pravesh KumarVijay Aggarwal
Aug 7, 2012·Oral and Maxillofacial Surgery·M Schuster, F Stelzle
Aug 24, 2018·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Junichiro WadaNoriyuki Wakabayashi

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