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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,
점막하구개열(Submucous cleft palate)의 진단과 치료
신효근 대한구순구개열학회 2007 대한구순구개열학회지 Vol.10 No.1
The classic triad of diagnostic signs of submucosal cleft palate which may be present are: 1) bifid uvula 2) short palate with no muscle in the midline and 3) hard palate with a submucous notching defect in the posterior midline. The treatment of submucous cleft palate are V-Y push back palatorrhaphy, and superior based pharyngoplasty implant in the posterior pharynx. The best speech results were in those children operated upon in the younger age group(especially at or before 2 years of age), thus pointing up the importance of early diagnosis.
申曉根 全北大學校 齒醫學硏究所 1983 전북치대논문집 Vol.1 No.1
The author analyzed clinically fractures of maxillo-facial bones, locations, age distribution, etiologic distributions, types of fractures, operation methods. The data for this study was complied from 96 patients of maxillo-facial surgery, college of dentistry, J.N.U. Hospital. The results were as follows, 1. The most frequent fractured site was mandible (88.4%), maxilla(7.2%), zygoma(4.4%) 2. The left symphysis region was the most frequent part 27.1%, left & right side were in the ratio of 72:50 3. Frequency of the fracture was the highest age group of the second decade group, 37.5%, Males to Females 86:10 4. The two major etiologic factors were traffic accidents 50%, blow accidents 30.2%, Pathologic fracture due to chronic osteomyelitis was 1 case. 5. Operation method was closed reduction 31 cases, open reduction 65 cases(included 7 cases used E.C.T. system)