Strengthening The Voice Of The Aspirated Tongue Speech Therapy For Speech Disorders In Patients After Cleft Palate Surgery

Objective: Through the incompleteness of palatopharyngeal postoperative shanxi patients speech treatment after speech intelligibility analysis, this paper discusses the action of the part of speech treatment which was the aggrandizement aspirates of tongue tip training method in shanxi incompleteness palatopharyngeal postoperative patients. Further removes or reduces incorrect nasal pronunciation and the improper compensatory pronunciation caused by velopharyngeal closure. And corrects shanxi dialect that the speech of tongue tip mixed phenomenon, recover their normal speech function utmost . Let congenital palatopharyngeal patients in appearance and speech function at or near normal levels.Methods: 1. Cases of collecting and training: Collected incompleteness palatopharyngeal postoperative speech abnormalities in patients with 25 cases which was in shanxi areas in January 2009 to December 2010, and carried on the oral and maxillofacial routine inspection. After the patients with speech training which was strengthen them the speech of tongue tip, everyone accepted three or four times voice training,and 30~ 40 min each time accompanied with parents every week. Finally, we have record the pronunciation of children based on uraniscolalia intelligibility evaluation word table which was created by Guoming Wang. 2.Speech intelligibility of subjective sentenced to: after three months ,almost Chinese patients can send syllables, with basic then consonants, for all patients before and after workouts recording materials using folkins issues developed palatopharyngeal speech intelligibility evaluation word table subjective sentenced to listen, convicted by five people listener composed. According to hear the results calculated speech intelligibility sentenced to score points, then before and after workouts speech intelligibility statistical processing, analysis therapeutic effect.3.Patients'training spectrum analysis before and after the training of speech: analyzed 25 cases incompleteness palatopharyngeal patients'speech acoustic characteristics before and after speech training,input the speech signal and used speech spectrum system to get broadband Internet language drawing of voice , then analyzed the language on the graph spectrum and rushed straight strip changes are comparatively.Results: 1. Patients speech intelligibility from training before 47.2 + 20.4% percent increased to training after 86.3 + 8.0% for, by an average of 39.1 + 15.6% are statistically significant difference (P < 0.01). 2. Incomplete palatopharyngeal patients speech spectrum spectral lines messy before training, rarely appears gap and filling straight strip, training patients after relatively than training before coloring deep and wide frequency band. Patients after training have a degree of blunt consonants straight strip - occurred rate of 16%. After training 25 patients,only 4 cases can meet obvious blunt straight strip training patients after language chart blunt straight strip with a certain degree of change.Conclusion: This experiment unifies shanxi areas of speech situation takes the lead in the conventional speech training joined the aggrandizement SheJianYin training methods, as a result, patients of speech intelligibility from training before 47.2 + 20.4 increased to training after 86.3 + 8.0, by an average of 39.1 + 15.6, explained this training method can make the region with cleft palate patients phonetic level have improved, regional speech differences get narrowing.Language graph instrument - computer software analysis technology is a kind of current international advanced treatment of postoperative pathological speech technology with cleft palate, cleft palate pathological speech for the analysis, the various therapeutic effect of evaluation are of great clinical significance, so it provides the reliable scientific basis for evaluating the curative effect of speech.