Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients This study investigates specific articulatory problems and compromised speech intelligibility associated with and without the use of an intraoral prosthesis in 13 surgically treated oropharyngeal cancer patients. Ten patients had tonsil and varying amounts of posterior tongue, tongue base, and soft palate resected. Three other patients had soft palate resected ... Research Article
Research Article  |   November 01, 1996
Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients
 
Author Affiliations & Notes
  • Laura A. Colangelo
    Northwestern University, Evanston, IL
  • Barbara Roa Pauloski
    Northwestern University, Evanston, IL
  • Jerilyn A. Logemann
    Northwestern University, Evanston, IL
  • David W. Stein
    Eye and Ear Institute of Pittsburgh, PA
  • Quinter C. Beery
    Eye and Ear Institute of Pittsburgh, PA
  • Mary Anne Heiser
    Roswell Park Memorial Institute, Buffalo, NY
  • Salvatore Cardinale
    Roswell Park Memorial Institute, Buffalo, NY
  • Currently at Indiana University of Pennsylvania
    Currently at Indiana University of Pennsylvania×
  • Contact author: Laura A. Colangelo, MS, Department of Preventive Medicine, 680 N. Lake Shore Dr., Suite 1104, Chicago, IL 60611
    Contact author: Laura A. Colangelo, MS, Department of Preventive Medicine, 680 N. Lake Shore Dr., Suite 1104, Chicago, IL 60611×
Article Information
Speech, Voice & Prosodic Disorders / Swallowing, Dysphagia & Feeding Disorders / Special Populations / Healthcare Settings / Normal Language Processing / Speech, Voice & Prosody / Research Article
Research Article   |   November 01, 1996
Effects of Intraoral Prostheses on Speech in Oropharyngeal Cancer Patients
American Journal of Speech-Language Pathology, November 1996, Vol. 5, 43-55. doi:10.1044/1058-0360.0504.43
History: Received February 23, 1995 , Accepted April 26, 1996
 
American Journal of Speech-Language Pathology, November 1996, Vol. 5, 43-55. doi:10.1044/1058-0360.0504.43
History: Received February 23, 1995; Accepted April 26, 1996

This study investigates specific articulatory problems and compromised speech intelligibility associated with and without the use of an intraoral prosthesis in 13 surgically treated oropharyngeal cancer patients. Ten patients had tonsil and varying amounts of posterior tongue, tongue base, and soft palate resected. Three other patients had soft palate resected with no involvement of oral tongue or tongue base. Three types of intraoral prostheses were employed. One type was a maxillary reshaping/lowering prosthesis, the second type was a soft palate obturator, and the third type was a combined maxillary reshaping/lowering and soft palate obturator prosthesis. Review of the individual cases in relation to improvements in articulation and conversational understandability revealed mixed success with prosthesis usage in the group of 10 patients with posterior resection. In the group of three patients with soft palate resection, however, two patients benefitted from use of obturators. The results identify the need for some criteria in patient selection for intraoral prosthetic rehabilitation. However, in view of the individuality of each patient case in terms of surgical deficit, patient characteristics, and varied prosthodontic/speech-language pathologist teams, it is impossible to develop prescriptions for prosthodontic construction based on surgical deficit alone.

Acknowledgment
This project was supported by NIH/NCI research grant #P01CA40007.
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