Effect of tonsillar hypertrophy on velopharyngeal closure and resonance of speech | ||
| Journal of Recent Advances in Medicine | ||
| Article 6, Volume 1, Issue 2, July 2020, Pages 90-95 PDF (3.04 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/jram.2020.22154.1032 | ||
| Authors | ||
| Soaad Yahia1; Hoda Ali1; Yossra Sallam* 2 | ||
| 1Otorhinolaryngology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt. | ||
| 2Phoniatrics Unite Otorhinolaryngology Department, Faculty of Medicine for Girls, Cairo, Al-Azhar University, Egypt | ||
| Abstract | ||
| Background: The effect of hypertrophied tonsils on velopharyngeal closure and resonance of speech has been a matter of controversy for a long time. Objective: The aim of this work is to investigate the effect of tonsillar hypertrophy on the pattern and degree of closure of the velopharyngeal valve and resonance of speech. Methodology: A hundred child, in the age range of 4 to 10 years, with tonsillar hypertrophy (grade 3 or 4), with average intelligence, normal hearing, and intact structure of the velopharyngeal valve have been assessed by nasoendoscopy and nasometry. All patients have been reevaluated 3 months after tonsillectomy. Results: Seventy-two patients (72%) showed coronal pattern of closure and twenty-eight (28%) showed circular pattern of closure. The degree of closure was II/IV in 7 patients (7%) and III/IV in 93 patients (93%). The mean nasalnce score of thenasal sentence and oral sentence was 57.48% and 16.17% respectively. In the postoperative evaluation 83 children exhibited a coronal pattern and 17 children showed a circular pattern. The closure was competent in 96 children and was III/IV in 4 children, with significant reduction of the nasalance score postoperatively. Conclusion: Hypertrophied tonsils may affect the pattern and degree of velopharyngeal closure and subsequently resonance of speech even in children with normal palate. | ||
| Keywords | ||
| nasalnce scores; speech resonance; tonsillar hypertrophy; velopharyngeal valve | ||
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