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Correction: Mesolella et al. Obstructive Sleep Apnea After Supracricoid Laryngeal Surgery (OPHL II): A Monocentric Prospective Pilot Study. <i>Cancers</i> 2026, <i>18</i>, 1212.

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Related Experiment Video

Updated: Jul 25, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Effects of Adenotonsillectomy on Vocal Function.

Massimo Mesolella¹, Giovanni Motta², Salvatore Allosso¹

¹Unit of Otorhinolaryngology, Department of Neuroscience, Reproductive Sciences and Dentistry, University Federico II of Naples, 80131 Naples, Italy.

Journal of Personalized Medicine

|June 28, 2023

Summary

Adenotonsillar hypertrophy significantly impairs breathing and vocalization, leading to hoarseness. Adenotonsillectomy can improve speech, breathing, and posture by reducing airway obstruction and recurrent infections.

Keywords:

adenotonsillectomy dysphonia mouth breathing respiratory dynamics vocal function

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Published on: June 14, 2020

Area of Science:

Otolaryngology
Pediatric Medicine
Speech-Language Pathology

Background:

Correct breathing is crucial for vocal production and can influence facial and mandibular development.
Infant mouth breathing is linked to potential vocal issues like hoarseness.
Adenotonsillar hypertrophy can obstruct airways, impacting respiratory and vocal functions.

Purpose of the Study:

To evaluate the effects of adenotonsillectomy on voice and speech articulation in children with adenotonsillar hypertrophy.
To compare vocal and speech characteristics before and after surgery in affected children.
To assess the impact of adenotonsillectomy on recurrent infections and overall well-being.

Main Methods:

A cohort study involving 20 children (ages 4-11) with grade 3-4 adenotonsillar hypertrophy and recurrent pharyngotonsillitis (Group A) who underwent adenotonsillectomy.
A control group (Group B) of 20 children with similar hypertrophy but without recurrent infections was included for comparison.
Evaluation of voice and speech articulation characteristics in the pre- and post-operative phases.

Main Results:

Adenotonsillar hypertrophy was found to significantly affect breathing, vocal function, and speech articulation.
Post-operative assessment revealed objective improvements in vocal characteristics and speech.
The study demonstrated that hypertrophy increases resistance to airflow at the glottic level, contributing to hoarseness.

Conclusions:

Adenotonsillar hypertrophy negatively impacts breathing, vocal quality, and speech clarity.
Adenotonsillectomy effectively addresses recurrent infections and improves speech, breathing, and posture.
Surgical intervention alleviates airway obstruction, leading to enhanced vocal tract function and reduced neck muscle tension.