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신효근 대한구순구개열학회 2010 대한구순구개열학회지 Vol.13 No.2
Intraoral prosthesis (Palatal Augmentation Prosthesis, PAP) may be used to augment swallowing function in patients with dysphagia. PAP can be used to recontour the dimensions of hard palate to fit the tongue following removal of oral cancer. Use of PAP can significantly improve the patient s ability to use the tongue to propel the bolus through the pharynx. The aim of this study is to show the effects of PAP through videofluoroscope in patients with dysphagia. The results were as follows: 1. A decrease in pharyngeal transit time was detected wearing with PAP. 2. Pharyngeal cross area was decreased wearing with PAP. 3. The results indicated PAP may effectively help lingual movement in patients with dysphagia.
신효근,임대호,황상준,김동칠,김현기 대한구순구개열학회 2008 대한구순구개열학회지 Vol.11 No.1
In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient
구개열 언어 평가의 표준화연구: kSNAP 테스트를 중심으로
신효근 대한구순구개열학회 2002 대한구순구개열학회지 Vol.5 No.1
Some children with Cleft Palate have shown a speech disorders after repaired surgical operation. A diagnostic evaluation of speech in children with cleft palates is important in preventing speech disorders. However, standard speech evaluation form for children with cleft palates has not yet developed in Korea. The pwpose of this study is to make the standard speech evaluation form for children with cleft palates. Thirty control children group and ten children with cleft palate participated in this experiment. The test words are composed of meaningless two syllabic words containing the three different types of korean stop consonants,
上鄂骨 複合骨折의 CSP(Compression Screw Plate)를 使用한 治驗例
辛曉根 全北大學校 齒醫學硏究所 1984 전북치대논문집 Vol.2 No.1
The author in Dept of Oral & Maxillo-famal surgery, J.N.U Hospital could have the following result after treatment of maxillary complicated fractured patient with Compression Screw Plate. 1. Accurate reduction of maxillary fractured bone. 2. No.Post-op. intermaxillary wiring was necessary.