설소대 수술 후 언어치료를 하지 않은 아동의 말소리 및 혀운동 특성과 치료 증례

The Speech and Tongue Movement Characteristics of a Child after Frenotomy - A Case Report after Speech Therapy

This case report presents the speech and tongue movement characteristics of a 7-year and 10-month-old child who did not receive speech therapy after undergoing a frenectomy at the age of 4. The evaluation of the child's oral articulatory structures and functions revealed that the tongue's motor abilities were classified as "abnormal." In a formal articulation test, the percent of correct consonant (PCC) was 95%, but errors in words containing liquid were notably present in informal tests. Additionally, the child complained of fatigue during liquidvowel repetition tasks. After 12 weeks of speech therapy using the set-up and articulatory posture training, improvements were observed in both functional movement of the tongue and articulation accuracy. This case suggests that following a frenectomy, it is important to conduct periodic evaluations of the child's oral articulatory function and speech-language abilities every 3 to 6 months. If problems are identified, appropriate interventions should be provided.