Maxillofacial Plastic and Reconstructive Surgery

  • 제30권5호
  • /
  • Pages.447-456
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  • 2008
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

설유착증 환아의 언어병리학적 평가

ANALYSIS OF SPEECH PATHOLOGIC EVALUATION FOR CHILDREN WITH ANKYLOGLOSSIA

  • 이주경 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 김영빈 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 임대호 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 백진아 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 신효근 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 고승오 (전북대학교 치과대학 구강악안면외과학교실)
  • Lee, Ju-Kyung (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Kim, Young-Bin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University) ;
  • Ok, Seung-O (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University)
  • 발행 : 2008.09.30
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초록

There is close relationship between intraoral structural anomaly and speech- functional problem. Patient with cleft palate patients & ankyloglossia is a typical example, patients with structural anomaly is repaired toward normal structure by operation. Ankyloglossia may cause functional limitation even after adequate surgical treatment speech disorders being one of them. Interindividually, they vary a lot, showing typical articulation specifics. The objective of this study was to evaluate and compare speech for children with ankyloglossia and general public, to determine whether ankyloglossia is associated with articulation problem. We wanted to present criteria for indication of frenectomy. The group of subject is composed of 10 childrens with ankyloglossia and articulation problem, visited the Oral and Maxillofacial surgical unit, dental hospital, Chonbuk university. The average age is 5 Y 7M, M : F ratio is 8 : 2 at the time of speech test. Control group is composed of 10 members without oral structural anomaly. The average age is 5 Y 10M, M : F ratio is 3 : 7 at the time of speech test. Outcomes were measured the PPVT(Peabody Picture Vocabulary Test), PCAT(Picture Consonant Articulation Test), Nasometer II test result obtained each group, statistically measured by Mann-whitney's U Test. There was no difference for 'chronological age-age equivalent' between two group. There was significant difference for 'consonant accuracy' between two group, showed more lower scores in subject group. There was more 'consonant error' in subject group, mostly showed/1/,/s/. A major modality of 'consonant error' was mostly distortion and replacement. There was no significant difference between two group for nasality.

키워드

참고문헌

  1. Ruffoli R, Giambelluca MA, Scavuzzo MC et al : Ankyloglossia: a morphofunction al investigation in children. Oral Diseases 11 : 170, 2005 https://doi.org/10.1111/j.1601-0825.2005.01108.x
  2. Lalakea ML, Messner AH : Ankyloglossia: does it matter?. Pediatric Clinical North America 50 : 381, 2003 https://doi.org/10.1016/S0031-3955(03)00029-4
  3. Jorgenson RJ, Shapiro SD, Salinas CF et al. : Intraoral findings and anomalies in neonates. Pediatric 69 : 577-82, 1982
  4. Messner AH, Lalakea ML, Aby J et al : Ankyloglossia: incidence and associated feeding difficulties. Arch Otolaryngol Head Neck Surg 126 : 36, 2000 https://doi.org/10.1001/archotol.126.1.36
  5. Dollberg S, Botzer E, Grunis E et al : Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg 41 : 1598, 2006 https://doi.org/10.1016/j.jpedsurg.2006.05.024
  6. Horton CE, Crawford HH, Adamson JE et al : Tongue- Tie. Cleft palate J 6 : 8, 1969
  7. Fletcher SG, Meldrum JR : Lingual function and relative length of the lingual frenulum. J Speech Lang Hear Res 2: 382, 1968
  8. Park SH, Son WS, Kim YD et al : The effect of the length of the lingual frenum and the tongue motion on speech. The J Kor Oral Maxillofac Surg 27 : 526, 2001
  9. Messner AH, Lalakea ML : The effect of ankyloglossia on speech in children. Otolaryngol Head Neck Surg 127 : 539, 2002 https://doi.org/10.1067/mhn.2002.129731
  10. Wright JE : Review Article, Tongue tie. J Paediatr Child Health. 31: 276, 1995 https://doi.org/10.1111/j.1440-1754.1995.tb00810.x
  11. Waldren PJ : Ankyloglossia: A review of the literature. Gen Dentistry 39 : 252, 1991
  12. Notestine GE : The importance of identification of ankyloglossia( short lingual frenulum) as a cause of breastfeeding problems. J Hum Lactat 6: 113, 1990 https://doi.org/10.1177/089033449000600316
  13. McEnergy ET, Gaine FP : Tongue-tie in infants and children. J Pediatr 18: 252, 1941 https://doi.org/10.1016/S0022-3476(41)80174-7
  14. Wallace AF ; Tongue-tie controversy. Nurs Times 60: 527, 1964
  15. Nancy LB, Kerry SL, Matthews TD et al : Comparison of the peabody picture vocabulary test - Third edition and wechsler adult intelligence scale third edition with university students. J Clinical Psychology 57 : 417, 2001 https://doi.org/10.1002/jclp.1024
  16. Jerome Caroselli, Heather Robinson, Hetzel RD et al : The PPVT-R: Validity as a quick screen of intelligence in a postacute rehabilitation setting for brain-injured adults. J Clinical Psychology 54 : 877, 1998 https://doi.org/10.1002/(SICI)1097-4679(199811)54:7<877::AID-JCLP2>3.0.CO;2-C
  17. 김영태 ; 그림자음검사를 이용한 취학전 아동의 자음정확도 연구. 말-언어장애연구 1 : 7, 1996
  18. Kim MJ, Lim SE, Choi HS : Age and sex differences in nasalance scores. The Journal of the Korean Society of Logopedics and Phoniatrics 11 : 141, 2000
  19. Luchsinger R, Arnold GE ; Voice-Speech-Language. Clinical Communicology. Its Physiology and Pathology. Belmont, Calif, Wadsworth Pulbishing Co Inc. 651, 1965
  20. Hazelbaker AK : The Assessment Tool for Lingual Frenulum Function(master's thesis). Pasadena(CA): Pacific Oaks College, 1993
  21. Kotlow LA. : Ankyloglossia(tongue-tie): a diagnostic and treatment quandary. Quintessence Int 30 : 259, 1999
  22. Choi JN, Kim YH, Sim HS et al : Comparisons of lingual function and alveolar sounds in 4-year-old korean children with and without ankyloglossia. The Journal of the Korean Society of Logopedics and Phoniatrics 15 : 145, 2004
  23. Williams WN, Waldron CM : Assessment of lingual function when ankyloglossia(tongue-tie) is suspected. J Am Dent Assoc 110 : 353, 1985 https://doi.org/10.14219/jada.archive.1985.0328
  24. Joong-Wha Koh, Seo-Jee Ahn, Hae-Dong Yang et al : Effect of frenulotomy in tongue-tie : Focused on alveolar sounds. The Journal of the Korean Society of Logopedics and Phoniatrics 11 : 5, 2000