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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 2  |  Page : 284-286

Early labial compensation for lingual sounds post partial glossectomy


1 Speech and Swallow Clinic, Health Care Global Enterprises Limited, Bengaluru, Karnataka, India
2 Head and Neck Surgical Oncology, Health Care Global Enterprises Limited, Bengaluru, Karnataka, India

Correspondence Address:
Prasanna Suresh Hegde
Speech and Swallow Clinic, Head and Neck Surgical Oncology, Health Care Global Enterprises Limited, #8, Tower 4, 2nd Floor, KR Road, Sampangi Ram Nagar, Bengaluru - 560 027, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisha.JISHA_23_19

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Speech errors are commonly reported in the literature for postsurgical treatment in lingual carcinomas. The degree of errors relate to the extent of resection and reconstruction. Residual organ compensation is reported in partial glossectomy, while adjacent articulator compensation in total glossectomy. This case report describes an early atypical labial compensation for lingual sounds in a young female postpartial glossectomy and free flap reconstruction. Speech articulation errors were specific to distortion of tongue tip stops, laterals, and liquids. Bilabial flicker like movements were noted during the production of alveolar stops which subsequently developed into a bilabial compensatory articulation. This error indicates that compensation for the affected articulator function may begin at a very early postsurgical stage. The compensation needs to be identified and intervened at an early stage where facilitation must be sought as a modality for speech correction in smaller surgeries to achieve new or near normal speech.


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