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Change in nasal resonance over time: a clinical study
D R Fox1, J I Lynch, T D Cronin
1Department of Communication Disorders, University of Houston, TX 77004.
The Cleft Palate Journal
|July 1, 1988
Summary
Many patients with poor resonance after surgery achieve normal speech over time. Early age at evaluation is linked to poorer outcomes, with improvement noted as children mature.
Area of Science:
- Plastic Surgery
- Speech Pathology
- Otolaryngology
Background:
- Poor resonance can occur after surgical treatment.
- Evaluating factors contributing to poor resonance is crucial for improving outcomes.
Purpose of the Study:
- To re-evaluate patients initially diagnosed with poor resonance after surgery.
- To identify factors associated with resonance improvement over time.
Main Methods:
- Retrospective analysis of 15 patients previously identified with poor resonance.
- Assessment of current resonance status without further surgical intervention.
- Correlation of resonance outcomes with patient age at initial evaluation and maturation.
Main Results:
- Over 50% of patients with initially poor resonance achieved normal resonance status upon re-evaluation.
- Patients repaired using the Cronin technique demonstrated an 89% probability of achieving normal resonance.
- Younger age at initial evaluation (less than 5 years) was associated with a higher likelihood of being classified as having poor resonance.
Conclusions:
- Resonance often improves spontaneously over time, even in patients initially deemed to have poor outcomes.
- Age at evaluation is a significant factor influencing perceived resonance results.
- The Cronin technique shows a high success rate for achieving normal resonance.