Speech and Language Disturbance in a Case of Bilateral Microtia with Meatal Atresia.
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Accession number;00A1054533
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| Title;Speech and Language Disturbance in a Case of Bilateral Microtia with Meatal Atresia. |
| Author;
KOJIMA YOSHIMASA
(Teikyo Univ., Ichihara Hosp.)
KAGA KIMITAKA
(Teikyo Univ., Sch. of Med.)
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Journal Title;Japan Journal of Logopedics and Phoniatrics
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Journal Code:Z0214B
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ISSN:0030-2813
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VOL.41;NO.4;PAGE.330-334(2000)
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| Figure&Table&Reference;FIG.2, REF.11 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A case of speech and language disturbance from congenital mixed deafness with microtia and meatal atresia was reported. The subject was a 29-year-old male who entered our rehabilitation center due to heavy hearing loss. Mean hearing level was 81 dB in the right side, 84 dB in the left. The air-bone gap at 1000 Hz was 55 dB in the right side, 65 dB in the left. Examination of speech and language was attempted and yielded a deviation value of reading ability of 55 (equivalent to third year of junior high school). Verbal IQ was 94, performance IQ was 103 and total IQ was 97 according to WAIS-R (Japanese Wechsler Adult Intelligence Scale-Revised). In the articulation test, palatalization was observed at velar stops, dental-alveolar fricatives, palatal alveolar fricatives, palatal fricatives and palatal alveolar affricates. The subject did not wish for operationai treatment, his reasons being as follows: 1) His opinion is that if hearing loss were to be recovered, his pains and efforts in his life until now would have no significance. 2) To make external auditory meatus incurs risk of otorrhea after the operation. 3) He did not strongly wish to recover his hearing loss. 4) It was difficult to make him understand what his condition would be like if his hearing loss were recovered. These findings suggest that when selecting a treatment plan, we must recognize that problems of speech and language may persist even after hearing loss may be recovered by operation. (author abst.) |
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