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Aim: To formulate the communication profile of hemiglossectomy Method: A detailed case history along with subjective and objective tests for communication & other associated problem was performed. Case Discussion: A 35 yr adult male from poor socioeconomic family reported to institute with speech and swallowing issues. Client underwent hemiglossectomy with marginal mandibuldectomy due to oral cancer at the age of 32 yrs of age. On speech assessment detailed articulation, oral peripheral mechanism assessment and voice assessment was done. On articulation assessment more substitution error at alveolar sounds in isolation and omission & distortions during connected speech observed. Client had inadequate gag reflex. On buffalo III voice profile, client had moderate gurgly voice quality and on PRAAT client had poor HNR. On speech intelligibility rating scale, client scored “5” which is indicative of poor speech intelligibility. On swallowing assessment cervical auscultation, swallowing performance scale and the informal assessment of swallowing (By, AYJNISHD) was done and report revealed that client had inadequate manipulation of food from one side to another side. On swallowing performance scale, client had mild-moderate impairment in swallowing functions. Voice realted quality of life questionnaire (VRQOL) was administered and client scored “45” which is indicative of poor to fair quality of life. Discussion: This case study tried to document the all features of speech and swallowing function of hemiglossectomy client. There are many studies in the literature which described about the hemiglossectomy surgery complications and outcomes but very rare studies which talk about the speech and swallowing function of hemiglossectomy. This study reported the HNR ratio was poor in this client similar result was reported by acher et al (2013). Conclusion: We can conclude that clients with hemiglossectomy have affected speech production and impaired swallowing function due to that their quality of life is also affected.
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