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연인두 폐쇄부전 아동의 보상조음과 정조음에서의 비음치 비교
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  • 연인두 폐쇄부전 아동의 보상조음과 정조음에서의 비음치 비교
  • Comparison of Nasalance Score Between Glottal and Oral Articulation in Children with Velopharyngeal Insufficiency
저자명
이은경,손영익,Lee. Eun-Kyung,Son. Young-Ik
간행물명
大韓音聲言語醫學會誌= The journal of the Korean Society of Logopedics and Phoniatrics
권/호정보
2007년|18권 2호|pp.129-133 (5 pages)
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대한음성언어의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Background and Objectives: Nasometry is an easy, noninvasive method to obtain objective data regarding the function of velopharynx. However, because articulation errors may affect the results of nasometry, the examiner should interpret the nasalance score based on appropriate speech stimuli. The purpose of this study is to examine the difference of nasalance score between glottal and oral articulations in patients with velopharyngeal insufficiency (VPI). Materials and Method: Nineteen children between 3.4 and 12.1 years of age (mean age 5.7 years) with a confirmed VPl showing hypernasality and articulation errors (glottal stops) were included. Nasalance scores were obtained for two speech patterns of glottal and oral stops. In addition, the velopharyngeal functions were analyzed in four subjects using video nasopharyngoscopy. Results: The $mean{pm}S.D$ nasalance scores of the glottal stops and oral stops were $42.54{pm}16.26%$ and $25.47{pm}16.51%$ respectively (p=.000). Six of 19 patients achieved normal nasalance scores when glottal stops changed to oral stops by the trial speech therapy. Video nasopharyngoscope confirmed that large velopharyngeal gaps can be decreased into tiny gaps or complete closure when compensatory articulations were corrected for some cases. Conclusion: Compensatory articulation errors must be corrected for the reliable interpretation of the nasalance scores that are obtained in children with velopharyngeal insufficiency, which would facilitate to make a better decision for further management of these patients.