Assessment of Speech and Swallowing Rehabilitation in Maxillofacial Patients

我们对2003 ~ 2005年颌面病人的功能康复评估进行了研究，得到了以下结果：研制了基于微压力传感器的鼻腔气流测量系统。在许多医疗和牙科机构中，言语功能通过言语清晰度测试进行了特征性评估。采用鼻咽纤维镜、气流测量、声学分析等方法评价患儿的语音功能。从现在开始，我们还将通过语音清晰度测试来评估语音功能。吞咽功能通过饮水试验和/或视频透视检查进行特征性评估。在饮水试验中，为了防止误吸，我们采用了显像透视法进行评估。通过询问患者可以吃什么食物的调查问卷，对咀嚼功能进行了特征性评估。我们采用一份无牙患者的咀嚼功能问卷来评估患者的咀嚼功能。对颌面部患者进行问卷调查是必要的。本研究表明，以患者满意度为基础的颌面修复评估对于提高患者的生活质量至关重要。

We researched the assessment of functional rehabilitation of maxillofacial patients from 2003 to 2005, and the following results were obtained.1.Measuring system of nasal airflow using micro-pressure transducer was developed.2.The speech function was characteristically assessed by means of a speech intelligibility test in many medical and dental institutions. We assessed the speech function by using nasopharyngeal fiberscope, measuring airflow, acoustic analysis. From now on we will also assess the speech function by means of a speech intelligibility test.3.The swallowing function was characteristically assessed by means of a water drinking test and/or videofluoroscopy. We assessed by using videofluoroscopy in order to prevent aspiration during a water drinking test.4.The masticatory function was characteristically assessed using a questionnaire asking what foodstuffs the patients could eat. We assessed the masticatory function of patients by using one of questionnaires for the edentulous patients. It is necessary to choose a questionnaire for maxillofacial paients.This research revealed that the assessment of maxillofacial prosthetics based on a patient satisfaction is important in order to promote quality of life (QOL) of the patients.