Effects of Adenoidectomy on the Speech of Children with Potential Velopharyngeal Dysfunction

Lawson, Lucie I.; Chierici, George; Castro, Ariel F.; Harvold, Egil P.; Miller, Earl R.; Owsley, John Q.

doi:10.1044/jshd.3703.390

Cited by 21 publications

(7 citation statements)

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“…To some authors [9,28], adenoidectomy may intensify the hypernasal speech in cleft palate patients. Though patients without overt cleft palate are also at risk of disclosing velopharyngeal inadequacy and resultant hypernasality following adenoidectomy [1,3,9,26,28]. Adenoidectomy causes an abrupt increase in the nasopharyngeal port and thereby handicaps the soft palate in its motion to contact the posterior pharyngeal wall [4,22,24,32].…”

Section: Discussionmentioning

confidence: 99%

The Effects of Adenoidectomy and Tonsillectomy on Speech and Nasal Resonance

Maryn¹,

Lierde²,

Bodt³

et al. 2004

Folia Phoniatr Logop

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This article presents a review of literature concerning speech and nasal resonance following adenoidectomy and/or tonsillectomy. In order to comprehend speech-related postoperative changes, the role of the adenoid and the tonsils in speech is discussed as well as the concept of veloadenoidal closure separating oral and nasal cavities. Moreover, the effects of adenoidal and tonsillar hypertrophy on speech and nasal resonance are debated.

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Section: Discussionmentioning

confidence: 99%

The Effects of Adenoidectomy and Tonsillectomy on Speech and Nasal Resonance

Maryn¹,

Lierde²,

Bodt³

et al. 2004

Folia Phoniatr Logop

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“…Adenoidectomy has long been known to carry a risk of worsening velopharyngeal insufficiency in patients with known VPI and may unmask previously undiagnosed VPI, particularly in patients with submucous cleft palate [3–6]. However, controversy exists over whether tonsillectomy alone will affect speech in patients with known velopharyngeal insufficiency, particularly in those with cleft palate.…”

Section: Introductionmentioning

confidence: 99%

Speech Outcomes after Tonsillectomy in Patients with Known Velopharyngeal Insufficiency

Paulson

MacArthur

Beaulieu

et al. 2012

International Journal of Otolaryngology

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Introduction. Controversy exists over whether tonsillectomy will affect speech in patients with known velopharyngeal insufficiency (VPI), particularly in those with cleft palate. Methods. All patients seen at the OHSU Doernbecher Children's Hospital VPI clinic between 1997 and 2010 with VPI who underwent tonsillectomy were reviewed. Speech parameters were assessed before and after tonsillectomy. Wilcoxon rank-sum testing was used to evaluate for significance. Results. A total of 46 patients with VPI underwent tonsillectomy during this period. Twenty-three had pre- and postoperative speech evaluation sufficient for analysis. The majority (87%) had a history of cleft palate. Indications for tonsillectomy included obstructive sleep apnea in 11 (48%) and staged tonsillectomy prior to pharyngoplasty in 10 (43%). There was no significant difference between pre- and postoperative speech intelligibility or velopharyngeal competency in this population. Conclusion. In this study, tonsillectomy in patients with VPI did not significantly alter speech intelligibility or velopharyngeal competence.

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“…In fact, glottal replacement and stops substituted for glides have been suggested as idiosyncratic phonologic processes in the speech of phonologically disordered children. Likewise, posterior nasal fricatives, &dquo;snorts&dquo; and &dquo;nasal lisp,&dquo; have been reported in the phonology of noncleft speakers (Lawson et al, 1972;Edwards & Bernhardt, 1973;Hall & Tomblin, 1975;Trost, 1981a;TrostCardamone, 1985), and these reports describe error patterns compatible with phone-specific nasal emission. Moreover, articulatory backing in the form of [h] and [ ~ ] has been observed by Shriberg and Smith (1983) in a group of 11 noncleft, but phonologically delayed youngsters.…”

Section: Compensatory Articulationsmentioning

confidence: 80%

Effects of Velopharyngeal Incompetence on Speech

Trost-Cardamone

1986

Journal of Childhool Communication Disorders

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This article begins with a presentation of the author's classification of velopharyngeal disorders. The taxonomy uses the term velopharyngeal inadequacy as generic to all varieties of velopharyngeal function impairments and the classification distinguishes between those impairments of structural etiology (the insufficiencies) and those of primary neuromotor origin (the incompetencies). This introductory material is followed by a discussion of the speech consequences of velopharyngeal inadequacy which includes an indepth presentation of compensatory articulation types and error patterns, and offers pertinent diagnostic guidelines for their assessment. The article concludes with a discussion of the effects of velopharyngeal insufficiency on speech sound learning with specific reference to the type and timing of initial palatoplasty and the role of early speech intervention. CLASSIFICATION OF VELOPHARYNGEAL DISORDERSAs discussed previously in this issue by Kuehn, impaired velopharyngeal closure for speech can result from a variety of etiologies. Moreover, there are perceptual speech characteristics that are pathognomonic of velopharyngeal defects and can distinguish among subtypes of velopharyngeal function problems. In both diagnosis and treatment of velopharyngeal impairments, it is important that the clinician have a taxonomic system of etiologies and one that can serve to relate etiology to speech production patterns. Figure 1 provides a classification based chiefly on underlying causes. In this taxonomy, velopharyngeal inadequacy (VPI/A) is the generic term and is used to denote any abnormal velopharyngeal function. Within the broad group of inadequacies there are subgroups of structural, neuromotor and more functional origins. A majority of velopharyngeal disorders can be placed within only one of these categories. These divisions, however, should not be applied rigidly. There are instances in which more than one etiologic agent is implicated as, for example, the co-occurrence of submucous cleft palate and excessively large tonsils. As can be seen, three categories of velopharyngeal impairment are presented here: velopharyngeal insufficiency

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Effects of Adenoidectomy on the Speech of Children with Potential Velopharyngeal Dysfunction

Cited by 21 publications

References 0 publications

The Effects of Adenoidectomy and Tonsillectomy on Speech and Nasal Resonance

The Effects of Adenoidectomy and Tonsillectomy on Speech and Nasal Resonance

Speech Outcomes after Tonsillectomy in Patients with Known Velopharyngeal Insufficiency

Effects of Velopharyngeal Incompetence on Speech

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