Justification of methods of diagnosis of speech disorders in cancer patients with acquired maxillary defects of the second group by V.Yu. Kurlandskiy


This article describes the components of human speech, classification of anatomic organs involved in rectortown, the analysis instrumental methods of speech. 35 analyzed literary sources - 14 works of domestic authors and 21 foreign. The earliest publication dates from 1972, the late - 2014. The basic parameters of sound (frequency, amplitude, period) are informative in the study of a simple sine wave sound. With the help of spectral analysis is the study of vocal sounds. Consonants are analyzed for the following parameters: slew rate sound intensity, time bows explosive consonant, the ratio of the amplitude of the noise intensity during the bows and sound intensity of the subsequent explosion. The envelope of sound intensity and its rate of change (first derivative of the amplitude) gives an idea of what a consonant is pronounced. When reducing the air flow through the vocal apparatus, these parameters will change. Pronunciation explosive consonants accompanied by an increase of air pressure in the oral cavity. This in turn leads to the leakage of airfrom the oral cavity in the presence ofa message of the oral cavity and the nasal cavity with acquired defects of the upper jaw with the violation of the integrity of the paranasal sinuses. The prosthesis is not always possible to solve the problem. Air leakage into the nasal cavity is accompanied by the appearance of an additional noise component, which is detected at the expert assessment and application of instrumental methods. Study of air leaks some authors produce using spirometry, however, the measurement of the tightness of the oral cavity to perform better with the use of breathing devices with adjustable hydraulic resistance, which simulate the increase of pressure in the oral cavity during speech. Leakage occurs, as a rule, on the border of the prosthesis with a defect, because the border of the defect is often movable mucosa, which when breathing tightly to the prosthesis, thus forming a sort of valve, however, when the pressure of air in the oral cavity, necessary for the formation of some sounds, this valve opens and air is drawn into the nasal cavity. Research associated with this phenomenon of objective speech settings it is expedient to produce the two-letter sounds, consisting of vowels and consonants. This approach allows to analyze all acoustic components smycnyx sounds with minimal prosodic and coarticulation distortion.

Full Text

Restricted Access

About the authors

N. N Mal'ginov

«A.I. Evdokimov Moscow state medical dental University» Ministry of health of Russia

127437, Moscow

I. V Reshetov

«I.M. Sechenov First Moscow state medical University»

119991, Moscow, Russia

A. F Zubkov

M.V. Lomonosov Moscow state University

119192, Moscow
Scientific research Institute of mechanics

Ivan Sergeevich Korzhov

«A.I. Evdokimov Moscow state medical dental University» Ministry of health of Russia

Email: dr.korzhov@gmail.com
127437, Moscow


  1. Murphy C.F., Pagan-Neves L.O., Wertzner H.F. et al. Auditory and visual sustained attention in children with speech sound disorder. PLoS One. 2014; 9 (3): 1-9.
  2. Lficio Gde S., Perilo T.V., Vicente L.C. et al. The impact of speech disorders quality of life: a questionnaire proposal. Codas. 2013; 25 (6): 610-3.
  3. Хабибулаев Ш.З. Возмещение обширных дефектов челюстно-лицевой области сложными кожно-жировыми и кожно-мышечными лоскутами на ножке. Сибирский онкологический журнал. 2009; 6 (36): 62-6.
  4. Пятница Т.В. Речевые нарушения у детей. Ростов-на-Дону: Феникс; 2011.
  5. Малюкова Н.Г. Значение методов нейропсихологической диагностики нарушений когнитивных функций в системе современной нейрореабилитации. Психологическая наука и образование. 2012; 4: 1-12.
  6. Арутюнов А.С., Кицул И.С., Комов Е.В. и др. Экспериментальная оценка состояния уровня организации ортопедической стоматологической помощи больным с челюстно-лицевыми дефектами в современных условиях. Российский стоматологический журнал. 2009; 2: 43-7.
  7. Shambharkar V.I., Puri S.B., Patil P.G. A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form. J. Adv. Prosthodont. 2011; 3 (2): 106-9.
  8. Patil P.G., Patil S.P Fabrication of a hollow obturator as a single unit for management of bilateral subtotal maxillectomy. J. Prosthodont. 2012; 21 (3) : 194-9.
  9. Elangovan S., Loibi E. Two-piece hollow bulb obturator. Indian J. Dent. Res. 2011; 22(3): 486-8.
  10. Patil P.G., Patil S.P. A hollow definitive obturator fabrication technique for management of partial maxillectomy. J. Adv. Prosthodont. 2012; 4 (4) : 248-53.
  11. Жулев Е.Н., Арутюнов С.Д., Лебеденко И.Ю. Челюстно-лицевая ортопедическая стоматология: Пособие для врачей. М.: Медицинское информационное агентство; 2008.
  12. Chhabra A., Anandakrishna G.N., Rao G. et al. Rehabilitation of partial maxillectomy defect with implant retained hollow bulb obturator prosthesis: a case report. J. Indian Prosthodont. Soc. 2012; 12 (2): 101-7.
  13. Karunagaran S., Markose S.C., Paprocki G.J. Management of the maxillary cancer patient-what the general dentist should know. J. Tennessee Dent. Assoc. 2013; 93 (1): 40-6.
  14. Барышев В.В., Андреев В.Г., Акки Э.Д. Возможности реконструкции орбиты у онкологических больных (обзор литературы). Сибирский онкологический журнал. 2012; 5: 80-4.
  15. Karle W.E., Anand S.M., Clain J.B. et al. Total soft palate reconstruction using the palatal island and lateral pharyngeal wall flaps. Laryngoscope. 2013; 123 (4): 929-33.
  16. Adelstein D.J., Ridge J.A., Brizel D.M. et al. Transoral resection pharyngeal cancer: Summary of a National Cancer Institute Head and Neck Cancer Steering Committee Clinical Trials Planning Meeting, November 6-7, 2011, Arlington, Virginia. Head & Neck. 2012; 34 (12): 1681-703.
  17. Danilla S. Selected Topics in Plastic Reconstructive Surgery InTech. 2012.
  18. Wehage I.C., Fansa H. Complex reconstructions in head and neck cancer surgery: decision making. Head & Neck Oncol. 2011; 14(3): 1-12.
  19. Cuesta-Gil M., Ochandiano Caicoya S., Riba-Garda F. et al. Oral rehabilitation with osseointegrated implants in oncologic patients. J. Oral Maxillofac. Surg. 2009; 67 (11): 2485-96.
  20. Сагдеев К.М., Оленев А.А. Математическая модель акустического канала утечки речевой информации. Технические науки. 2012; 6: 668-73.
  21. Williams C.E., Stevens K.N. Emotions and speech: some acoustical correlates. J. Acoust. Soc. Am. 1972; 52 (4): 1238-50.
  22. Галонский В.Г., Вязьмин А.Я., Никитин О.Н. Применение замещающего обтурирующего протеза при ортопедическом лечении больных с приобретенными дефектами верхней челюсти. Бюллетень ВСНЦ СО РАМН. 2000; 1: 58-61.
  23. Балон Л.Р, Костур Б.К. Возмещение дефектов челюстно-лицевой области и органов шеи. Л.: Медицина, Ленинградское отделение; 1989.
  24. Hattori M., Sumita Y., Taniguchi H. Three kinds of speech evaluation in maxillectomy patients during the fabrication process of a hollow-type obturator. Kokubyo Gakkai Zasshi. 2013; 80 (2): 49-53.
  25. Павленко А.В., Хохлич О.Я. Зубочелюстная система как взаимосвязь элементов жевания, эстетики и фонетики. Медицина транспорту України. 2012; 1: 86-92.
  26. Frank T. ANSI update: maximum permissible ambient noise levels for audiometric test rooms. Am. J. Audiol. 2000; 9 (1): 3-8.
  27. Бурая Е.А., Галочкина И.Е., Шевченко Т.П. Фонетика современного английского языка. Теоретический курс: Учебник для студентов учреждений высшего профессионального образования. 4-е изд. М.: Издательский центр «Академия»; 2014.
  28. Hattori M., Sumita Y.I., Taniguchi H. Measurement of voice onset time in maxillectomy patients. Scient. World J. 2014; 1-4.
  29. Бизяев А.А., Коннов В.В., Лепилин А.В. и др. Современные методы контроля фонетической адаптации пациентов к ортопедическим конструкциям зубных протезов. Саратовский научно-медицинский журнал. 2011; 7 (2): 474-7.
  30. Levya M., Quanjerb P., Bookerc R. et al. Diagnostic spirometry in primary care: Proposed standards for general practice compliant with American Thoracic Society and European Respiratory Society recommendations. Respir. J. 2009; 18 (3): 130-47.
  31. Coates A.L., Graham B.L., McFadden R.G. Spirometry in primary. Can. Respir. J. 2010; 20 (1): 13-21.
  32. Галонский В.Г., Радкевич А.А., Гюнтер В.Э. Способ протезирования пострезекционных дефектов неба и протез-обтуратор неба. Патент РФ № 2349284.
  33. Галонский В.Г., Радкевич А.А. Способ диагностики нарушений речевой функции. Патент РФ № 2284744.
  34. Pravesh Kumar, Veena Jain, Alok Thakar. Speech rehabilitation of maxillectomy patients with hollow bulb obturator. Indian J. Palliat. Care. 2012; 18 (3): 207-12.
  35. Kwon H.B., Chang S.W., Lee S.H. The effect of obturator bulb height on speech in maxillectomy patients. J. Oral Rehabil. 2011; 38(3): 185-95.



Abstract - 16

PDF (Russian) - 0


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies