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Background: Subtotal and total glossectomies for advanced tongue cancer result in significant speech- and swallow-related morbidity, impairing quality of life. This prospective pilot study compares the safety and functional outcomes associated with using a chimeric innervated muscle and fasciocutaneous flap for soft tissue reconstruction.

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A man in his late 50s was referred by a speech and language therapist for consideration of a palatal lift prosthesis (PLP) to improve his speech intelligibility. He presented with hypokinetic dysarthria characterised by reduced loudness, breathy voice and hypernasality. The patient had a diagnosis of progressive muscular dystrophy and mobilised in a motorised wheelchair.

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Integrating visual features has been proven effective for deep learning-based speech quality enhancement, particularly in highly noisy environments. However, these models may suffer from redundant information, resulting in performance deterioration when the signal-to-noise ratio (SNR) is relatively high. Real-world noisy scenarios typically exhibit widely varying noise levels.

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