About this trial
The investigators are studying how speech is effected by jaw and tooth position in jaw surgery patients. Eighty percent of our jaw surgery patients have speech pathologies, compared to five percent of the general population, but speech pathologists do not understand why. The investigators hypothesize that open bites and underbites prevent most patients from being able to pronounce words normally and surgical correction will lead to improvement in speech. Patients will be audio recorded speaking and patients' tongue gestures ultrasound recorded before and after their jaw surgeries to observe what changes occur in their speech and tongue movements.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Jaw surgery patient at UNC with a skeletal open bite, underbite or overjet greater than 5mm.
Age 15-40 years
Disqualifiers
Hearing loss
Learned English as a second language
Significant regional accent, as characterized by a speech pathologist
Developmental delay, performing several grade levels below age bracket
Trial population
The study population includes healthy patients who present in our oral surgery and/or orthodontic dentofacial disharmony clinics with skeletal underbites, open bites, and/or excessive overjet. These patients have decided (prior to our study) to pursue orthodontic treatment combined with orthognathic surgery to address their jaw disproportions.
Trial design
Cohort
Prospective
Treatments tested in this trial
Orthognathic surgery and Orthodontics
Other interventionThis study is observational. All subjects identified to participate will be undergoing orthognathic jaw surgery and orthodontic treatment.
Treatment groups
Trial outcomes
Primary outcomes
Change in Speech Distortion Phonemes over Time
Audio recordings of consonant phonemes will be quantitatively analyzed using spectral moment analysis yielding mean values.
Change in Quantitative Tongue Gestures over Time
Ultrasound analysis of tongue posture to quantitatively describe tongue position during speech.
Sponsors and contacts
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University of North Carolina, Chapel Hill
Lead sponsor
North Carolina State University
Collaborator