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Related Experiment Videos

Hypernasal speech following adenotonsillectomy.

C B Croft, R J Shprintzen, R J Ruben

    Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
    |March 1, 1981
    PubMed
    Summary

    Adenotonsillectomy can cause hypernasal speech, especially in patients with undiagnosed or minor palatal abnormalities. Many patients undergoing this surgery for ear issues experienced persistent problems due to underlying palate issues.

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    Area of Science:

    • Otolaryngology
    • Speech Pathology
    • Pediatric Surgery

    Background:

    • Adenotonsillectomy is a common procedure for various pediatric conditions.
    • Hypernasal speech can arise post-surgery, impacting communication.
    • Palatal abnormalities, including submucous cleft palate, are potential contributing factors.

    Purpose of the Study:

    • To investigate the incidence and characteristics of hypernasal speech after adenotonsillectomy.
    • To identify pre-existing speech anomalies and palatal conditions in affected patients.
    • To explore the relationship between adenotonsillectomy, palatal abnormalities, and persistent middle ear disease.

    Main Methods:

    • Retrospective analysis of 120 patients undergoing adenotonsillectomy.
    • Pre- and post-operative speech assessments.

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  • Evaluation for signs of submucous cleft palate (classical and occult).

    • Main Results:

    • 48 patients (40%) had no prior speech issues; 41 (34%) had exacerbated minor anomalies post-surgery.
    • 35 patients (29%) had classical submucous cleft palate; 20 (17%) had occult submucous clefts.
    • 57 patients had recurrent middle ear effusions; many experienced continued disease post-surgery, linked to palatal issues.

    Conclusions:

    • Adenotonsillectomy can unmask or worsen hypernasal speech in patients with underlying palatal abnormalities.
    • Submucous cleft palate is a significant factor associated with post-adenotonsillectomy hypernasality.
    • Palatal abnormalities may contribute to the persistence of middle ear disease following adenotonsillectomy.