Navegando por Palavras-chave "Stomatognathic system"

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    Aspectos do sistema estomatognático pré e pós adenotonsilectomia
    (Universidade Federal de São Paulo (UNIFESP), 2011-01-26) Balieiro, Fernanda Bastos de Andrade [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: To verify the occurrence of speech and voice changes in the structures of the stomatognathic system and the deglutition functions, breathing, speech and phonation involving vocal quality and resonance after undergoing palatine and pharyngeal tonsils surgery. Method: The study included 22 children,17 males and 05 females aged between 05 and 10 years, sorted in the service of the Pediatric Otorhinolaryngology Department of the Federal University of São Paulo, suffering from hypertrophic palatine tonsils and adenoids with surgical indication for adenotonsillectomy and with no previous speech therapy. The speech evaluation was performed before and during the period between one and six months after adenotonsillectomy and consisted of evaluation of lips , tongue and soft palate structures and evaluation of the swallowing of liquid, breathing mode, speech and phonation (voice quality and resonance) functions. To evaluate the vocal quality and resonance 15 children with the postoperative evaluation carried out in a period of one to almost two months were considered. Results: The results of the evaluation of the stomatognathic system were analyzed statistically using the Wilcoxon test and McNemar test. Statistical significance in lips closed at rest posture, nasal breathing mode, tongue tonus, adequate mobility of the soft palate, tongue posture during swallowing of liquid and absence compensatory mechanism of interposition of lips in swallowing were found. The evaluation results of speech and phonation were analyzed based on frequency distribution. Reduction in the frequency of omission and distortion processes was also found, although these have remained in the postoperative period. Regarding speech little improvement in the resonance was noticed. Conclusion: Despite some improvement in various aspects evaluated, most children remained with changes in speech structures and in the deglutition, speech and phonation functions. Comparison of the aspects evaluated speech problems observed improvement in respiratory mode, position of lips in rest, mobility of soft palate and compensatory mechanisms in the swallowing, however the study showed that others aspects analyzed showed no improvement.
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    Aspectos do sistema estomatognático pré e pós-adenotonsilectomia
    (Sociedade Brasileira de Fonoaudiologia, 2013-01-01) Andrade-Balieiro, Fernanda Bastos de [UNIFESP]; Azevedo, Renata [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To verify the speech therapy aspects of the stomatognathic system, including phonoarticulatory structures (lips, tongue, and soft palate) and swallowing, respiratory, speech, and phonation (vocal quality and resonance) functions, before and after undergoing adenotonsillectomy. METHODS: The study included 22 children, 17 males and 5 females, aged between 5 and 10 years, suffering from hypertrophy of palatine and adenoid tonsils, with surgical indication for adenotonsillectomy and with no previous speech therapy. The speech-language pathology evaluation was performed before surgery and during the period between 1 and 6 months after adenotonsillectomy. It consisted of an evaluation of structures (lips, tongue, and soft palate) and of swallowing (liquid), respiration (mode), speech, and phonation (voice quality and resonance) functions. To evaluate vocal quality and resonance, 15 participants with the postoperative evaluation carried out in a period from 1 to 2 months were considered. RESULTS: There were differences regarding nasal respiratory mode, lips closed at rest posture, changed tongue tonus, adequate mobility of the soft palate, changed tongue posture during liquid swallowing, and absence of interposition compensatory mechanism of lips in swallowing. Reduction in the frequency of distortion processes was also found. With regard to speech, little improvement in vocal quality and resonance was seen. CONCLUSION: Following adenotonsillectomy, some structures and functions can spontaneously readapt or improve. However, most children needed to be referred to speech therapy for readapting stomatognathic structures and the assessed functions.
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    Variabilidade na mensuração das medidas orofaciais
    (Sociedade Brasileira de Fonoaudiologia, 2008-01-01) Rodrigues, Fernanda Veloso; Monção, Fabiana Rodrigues Cerqueira; Moreira, Michelle Barroso Rocha; Motta, Andréa Rodrigues [UNIFESP]; Prefeitura Municipal de Francisco Sá - Francisco Sá; Clínica SISO; Clínica Habilitar Infantil; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Minas Gerais Departamento de Fonoaudiologia
    PURPOSE: To verify the degree of variability of orofacial measures, among speech pathologists who are specialists in orofacial myology. METHODS: A prospective study was carried out, where 30 speech pathologists who are specialists in orofacial myology measured, in two different moments, with the use of a digital sliding caliper, ten orofacial measures of a standard subject. Within- and between-examiner data were compared using measures of central trend and dispersion, and hypothesis testing, with the level of significance of 5%. RESULTS: Nine out of the ten parameters investigated were considered as homogeneous in both within- and between-observers analyses. The maximum mouth opening with the tongue in the papilla presented high coefficients of variation, indicating heterogeneous data, although between-observers values were considered similar. In the within-examiner analysis for this parameter, a significant difference was evidenced (p=0.0384). In the data analysis, it was also observed differences next to the cut point established in the study, in the within-observer mensuration of the midfacial height (p= 0.0711) and the maximum mouth opening (p= 0.0677). Among the ten analyzed variables, it was not observed decrease in the coefficient of variation from the first to the second mensuration only for the parameters midfacial height and superior lip. CONCLUSION: It was not observed variability in the orofacial mensuration carried out in this study, except for the parameter maximum mouth opening with the tongue in the incisor papilla, indicating that data produced by different professionals can be considered partially trustworthy.