Compensatory Physiologic Phonetics for the Glossectomee

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Abstract
Compensatory articulation patterns on the glossal phonemes were developed clinically in a study of 14 total and 11 partial glossectomees. Successful compensations were examined by cinefluorography. Patterns differed between total and partial glossectomees, with the latter making adaptive movements of the tongue stump, and the former using substitute mandibular, labial, buccal, and palatal movements with among-patient consistency in relation to developing intelligibility. On admission the partial glossectomees ranged between 6 and 24% intelligibility, as measured by CID W-22 PB word lists, and shifted after the therapy sequence to a range of 24 to 46%. The total glossectomees ranged from 0 to 8% intelligibility on admission, and shifted to a range of 18 to 42% in the program. The six total glossectomees who made no progress were all dysphagics; the other patients, none of whom exhibited dysphagia, all achieved some improvement in intelligibility.

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