Innovative Speech Reconstructive Surgery
نویسنده: Shemshadi، Hashem؛
September 2003 - Number 1 (5 صفحه - از 20 تا 24)
Proper speech functioning in human being, depends on the precise coordination and timing balances in a series of complex neuro nuscular movements and actions. Starting from the prime organ of energy source of expelled air from respirato y system; deliver such air to trigger vocal cords; swift changes of this phonatory episode to a comprehensible sound in RESONACE and final coordination of all head and neck structures to elicit final speech in Articulators, are needed to function elegantly together. Any defects in this pathway with any etiology, creates speech difficulties. Reconstructive procedures to correct these defects as much as possible is the basis of Speech Reconstructive Surgery. Embellishing a team work, consisting of different specialties with a major role for speech and language pathologists is the golden opportunity to gain a successive information which helps the surgeon in pre,intra,and postoperative period. Mutual exchanges of information among these different specialties related to speech pathology, will initiate a great success for everyone in the team, especially the patient.خلاصه ماشینی:
"Srartingji·om the prime organ of energy source of expelled air ji'om respiratOI)' system; delil'er such air to trigger meal cords; swift changes ( l this phonatory episode to a comprehensible sound in RESONACE and final coordinmioi1 of all head and neck structures to elicit jlnal speech in Articulators, are needed tojimction elegam ly togetha Any defects in this pathway w(lh any etiolo gy,creates speech difficulties. Reconstructil·e procedures to correct these defects as much as possible, is the basis of Speech Reconstructive Surgery. not many patients with speech difficulties knew surgical intervention may correct their problems and not too many seri ous clinical and paraclinical lab works were felt by therapisits . This means obtaining a better communication process , speech problems should be assigned as if there is some anatomical defect which could be altered surgically . Energy sounds are accurately placed in fur ther organs of speech production for the har monized movements of different anatomical section in providing a "voice" which has the optimal value in a communication act . Speech reconstructive surgeon as a member of speech and language pathology team , is responsible for the surgical repairing of those anatomical defects . The initial evaluation of the patient's speech and heating , relating to the proper functioning of articulators is important . SURGICALLY CORRECTABLE SPEECH PROBLEMS After precise evaluation of the patient's gen eral health and close cooperation within the team work, operative plans are settled . , Surgical Management Dysfunctioning Speech pathologies Plastic and Reconstructive Surgery Journal 1997, 100: 1655 - 1663 ."
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