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Frequency of Apical and Laminal /s/ in Normal and Postglossectomy Patients
Maureen Stone1, Susan Rizk2, Jonghye Woo2
1Department of Neural and Pain Sciences, Orthodontics, University of Maryland School of Dentistry, Baltimore, MD.
Journal of Medical Speech-Language Pathology
|July 10, 2015
Summary
Postglossectomy patients often use laminal /s/ sounds due to reduced tongue tip control. Palate height influences /s/ production in controls, but not in these patients.
Area of Science:
- Linguistics
- Speech Science
- Audiology
Background:
- American English /s/ sounds can be produced using either apical (tongue tip up) or laminal (tongue blade up) tongue shapes.
- Postglossectomy patients, who undergo surgery involving tongue resection, may experience altered tongue control, particularly affecting the tongue tip due to denervation.
Purpose of the Study:
- To investigate the effect of glossectomy on the production of apical versus laminal /s/ sounds.
- To determine if reduced tongue tip control in postglossectomy patients influences their /s/ sound production strategies.
- To examine the interplay between palate height and /s/ production in both control and postglossectomy populations.
Main Methods:
- Utilized cine-MRI and dental casts to analyze tongue shapes and palate height in 24 control participants and 13 postglossectomy patients.
- Categorized /s/ productions as either apical or laminal.
- Correlated acoustic and articulatory data with patient-specific anatomical measurements.
Main Results:
- Palate height was found to influence /s/ production in control participants.
- This effect of palate height on /s/ production was not observed in postglossectomy patients.
- Postglossectomy patients demonstrated a tendency to produce laminal /s/ sounds more frequently than controls.
Conclusions:
- Postglossectomy patients, even with preserved tongue tips, are more prone to using laminal /s/ shapes, likely due to compromised tongue tip control.
- The findings suggest that surgical alterations to the tongue can override the influence of anatomical factors like palate height on speech sound production.
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