Articulatory movement of 10 patients reconstructed with a forearm flap after glossectomy was investigated as compared with 9 patients glossectomized with direct suture using electropalatography (EPG) .
Results were as follows.
1. For both /t/ and /s/ sounds, the linguapalatal contacts produced by the subjects reconstructed with a forearm flap were observed not only in the intact side, but also in the resected side, especially in the posterior portion of the hard palate.
2. For the /t/ sound, the cases which showed complete constriction along the dental arch indicated higher speech intelligibility. These patterns were observed more frequently in those reconstructed with a forearm flap than in those with direct suture.
3. For the /s/ sound, EPG patterns with the groove in the anterior portion of the palate were found in only a few cases in both surgical methods.However, even those cases which showed EPG patterns extremely deviated from normal were able to produce sounds which had higher speech intelligibility.
4. In respect of the change in the number of contacts with time, the cross type in which the onset and end of the contact on the resected side are later than those on the healthy side was characteristic for reconstruction with a forearm flap. On the other hand, the analogue and semicontacted types were observed more frequently in cases with direct suture.
5. From these results, it was concluded that though the reconstructed tongue with a forearm flap had no mobility by itself, it could contribute to articulation by cooperating with residual tongue tissue.
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