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Hypernasal speech caused by tonsillar hypertrophy.

R J Shprintzen1, A E Sher, C B Croft

  • 1Center for Craniofacial Disorders, Montefiore Medical Center, Bronx, NY 10467.

International Journal of Pediatric Otorhinolaryngology
|November 1, 1987
PubMed
Summary
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Tonsillectomy effectively resolved hypernasal speech in most patients. Enlarged tonsils blocking the airway were the primary cause, with surgery leading to significant speech improvement.

Area of Science:

  • Otolaryngology
  • Speech-Language Pathology

Background:

  • Hypernasal speech can significantly impact communication.
  • Enlarged tonsils are a potential, yet often overlooked, cause of hypernasality.

Purpose of the Study:

  • To investigate the relationship between hypertrophic tonsils and hypernasal speech.
  • To evaluate the efficacy of tonsillectomy in treating hypernasality caused by tonsil hypertrophy.

Main Methods:

  • Flexible fiber optic nasopharyngoscopy.
  • Multi-view videofluoroscopy.
  • Behavioral speech assessment.

Main Results:

  • Hypertrophic tonsils encroaching on the oropharyngeal and nasopharyngeal airway were identified as the cause in 20 patients.

Related Experiment Videos

  • Tonsillectomy alone resulted in complete resolution of hypernasal speech in 16 out of 20 patients.
  • Speech therapy or prosthetic treatment was needed for the remaining patients.
  • Conclusions:

    • Tonsillectomy is a highly effective treatment for hypernasal speech caused by tonsil hypertrophy.
    • Surgical intervention should be considered for patients with this specific etiology of hypernasality.
    • A multidisciplinary approach may be necessary for residual cases.