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논문 기본 정보

자료유형
학술저널
저자정보
안서지 (아주대학교 의과대학 음성언어검사실) 양해동 (아주대학교 의과대학 이비인후과학교실) 김병철 (아주대학교 의과대학 이비인후과학교실) 신지철 (아주대학교 의과대학 이비인후과학교실) 고중화 (아주대학교 의과대학 이비인후과학교실)
저널정보
대한후두음성언어의학회 대한후두음성언어의학회지 대한후두음성언어의학회지 제11권 제1호
발행연도
2000.1
수록면
5 - 11 (7page)

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Background and Objectives : Tongue-tie, or partial ankyloglossia, is manifested by an abnormally short and thick lingual frenulum. Degree of tongue-tie varies from the mild to the rare, severe and its treatment of choice is frenulotomy. Theoretically tongue-tie can affect expression of alveolar sounds. The purpose of this study is to evaluate the degree of articulation problem and to evaluate the efficacy of frenulotomy itself on alveolar sounds in tongue-tie patients. Materials and Methods : Prospectively, the authors performed preoperative and postoperative speech evaluation using picture consonants test for tongue-tie patients. Percentage of consonants correct(PCC), mean value of each alveolar phoneme depends on articulation site were evaluated. for exclusion of other articulatory improving factors except of frenulotomy itself, postoperative picture consonants test was performed 1 month after surgery. Results : Preoperative speech evaluation was performed to 37(male 21, female 16) patients and postoperative speech evaluation was performed to 17(male 9, female 8) patients, the other 20 patients were follow-up loss. Low PCC was observed in tongue-tie patients and PCC of female was higher an at of male in 2-4 years old patients. Overall PCC was improved after frenulotomy. Preoperative mean value of liquids and fricatives was lower than the other alveolar phonemes(p<0.05) and it was improved postoperatively(p<0.05). Conclusion : Frenulotomy itself can improve the articulation of liquids and fricatives on short follow-up. Speech therapy would be needful for improvement of the other alveolar phonemes.

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