[Restoration of speech function in oncological patients with maxillary defects]

Area of Science:

• Speech-Language Pathology
• Prosthodontics
• Rehabilitation Medicine

Background:

• Acquired maxillary defects significantly impair speech quality, primarily causing rhinophonia and articulation difficulties.
• Effective speech rehabilitation strategies are crucial for patients with these defects.

Purpose of the Study:

• To evaluate the effectiveness of different speech rehabilitation methods in patients with acquired maxillary defects.
• To identify factors influencing speech quality improvement in this patient group.

Main Methods:

• Speech quality was assessed using auditory and spectral analysis in 188 patients.
• Interventions included pharmacopsychotherapy, speech therapy (logopedist), and self-tuition using specialized tests.
• A control group received no preliminary preparation.

Main Results:

• Removable obturator prostheses did not fully correct speech but facilitated correct speech stereotype formation.
• Speech therapy provided significant emotional incentive and promoted speech restoration.
• Pharmacopsychotherapy and self-control were effective in improving speech quality.

Conclusions:

• Speech quality in patients with maxillary defects is linked to intellectual capacity and motivation.
• Specialized analytical tests can activate the neuromuscular speech apparatus.
• A combination of therapeutic approaches, including speech therapy and self-management, is beneficial.