Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제28권4호
  • /
  • Pages.310-317
  • /
  • 2002
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

설소대 절제술이 설운동과 발음에 미치는 영향

THE EFFECT OF LINGUAL FRENECTOMY ON THE TONGUE MOTION AND SPEECH

  • 김용덕 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 박성희 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 손우성 (부산대학교 치과대학 교정과학교실) ;
  • 김욱규 (부산대학교 치과대학 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치과대학 구강악안면외과학교실)
  • Kim, Yong-Deok (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Park, Sung-Hee (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Chung, In-Gyo (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Son, Woo-Sung (Department of Orthodontistry, College of Dentistry. Pusan National University) ;
  • Kim, Uk-Kyu (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University)
  • 발행 : 2002.08.31
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초록

We have examined 20 tongue-tie patients who had been operated the lingual frenectomy in Dept. of Oral & Maxillofacial surgery, Pusan National University for the effect of the lingual frenectomy on the tongue motion and speech, and divided patients into groups by age. Each group was separated as follows ; the age of 5-6, 7-9, 10-12, 13-15, and 16-18. We measured the frenal lengh, the range of tongue motion and evaluated the speech pre- and postoperatively. The preoperative patient groups have larger tongue tips and smaller lingual frenums than normal ones. In the preoperative patient group, there was significant obstacle of the protrusive and superior movement of the tongue. The exception was the laterotrusive movement on both sides. There was the lower value of the Picture Consonant Articulation Test(PCAT) in the preoperative 5 to 6 year-old group compared with normal group. In other age groups, there was no significant difference. The range of postoperative PCAT in all age groups has become as similiar as that of normal group. The 5 to 6 year-old group which had significant difference in PCAT was improved in PCAT. In conclusion, we propose that the PCAT as well as anatomical tongue size and functional tongue movement is the basis of the indication of lingual frenectomy and the 5-6 year-old is the optimal time of the lingual frenectomy for improvement of the tongue movement and the speech.

키워드

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