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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
neuroscience
Longitudinal progress of overall intelligibility, voice, resonance, articulation and oromyofunctional behavior during the first 21 months after Belgian facial transplantation
Journal of Communication Disorders, Volume 53, Year 2015
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Description
Purpose: The purpose of this study is to document the longitudinal progress of speech intelligibility, speech acceptability, voice, resonance, articulation and oromyofunctional behavior in a male facial transplant patient 8 days, 15 days, 5 months, 12 months and, finally, 21 months after surgery. Method: Identical objective (Dysphonia Severity Index, nasometry, acoustic analysis) and subjective (consensus perceptual evaluation, Dutch speech intelligibility test; flexible videolaryngostroboscopy/naso-endoscopy) assessment techniques and questionnaires (speech and voice handicap index, oral health impact profile, facial disability index) were used during each of the five postsurgical assessments. Results: The pattern of results shows a longitudinal progress of speech intelligibility and acceptability and of the interactive processes underpinning overall speech intelligibility. Vocal quality is normal and resonance is characterized by hypernasality. The phonetic inventory is complete but four phonetic disorders remain. Outcomes pertaining to articulation (formant analysis) show evident progress over time. Lip functions are improving but still decreased. Conclusions: Transplantation of the face in this patient has largely restored speech. To what extent resonance, articulation, and lip functions can be enhanced by the permanent use of a palatal obturator, by specialized facial and lip movement exercises in combination with motor-oriented speech therapy, is subject for further research. Learning outcomes Facial transplantation: Readers will be able to (1) describe the relationship between facial transplantation and the impact on speech and oromyofunctional behavior, (2) identify variables that influence the outcome after facial transplantation, (3) define an assessment protocol after facial transplantation, (4) define facial transplantation. © 2014 Elsevier Inc.
Authors & Co-Authors
van Lierde, Kristiane M.
Belgium, Ghent
Universiteit Gent
Vermeersch, Hubert F.E.
Belgium, Ghent
Universitair Ziekenhuis Gent
Roche, Nathalie A.
Belgium, Ghent
Universitair Ziekenhuis Gent
Rogiers, Xavier C.
Belgium, Ghent
Universitair Ziekenhuis Gent
Corthals, Paul
Belgium, Ghent
Universiteit Gent
Statistics
Citations: 18
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1016/j.jcomdis.2014.09.001
ISSN:
00219924
Research Areas
Disability
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male