Effects of adenotonsillectomy on speech spectrum in children

Mora, Renzo; Crippa, Barbara; Dellepiane, Massimo; Jankowska, B.

doi:10.1016/j.ijporl.2007.05.005

Cited by 51 publications

(97 citation statements)

References 13 publications

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“…Problems with articulation of dento-alveolar consonants and voice resonance have been previously reported (Ahlqvist-Rastad, Hultcrantz, and Svanholm, 1988;Maryn, Van Lierde, De Bodt, and Van Cauwenberge, 2004;Mora, Crippa, Dellepiane, and Jankowska, 2007;Salami, Jankowska, Dellepiane, Crippa, and Mora, 2008).The prevalence of speech and voice disorders in children with hypertrophic tonsils is still somewhat unclear but in a study by Salami and colleagues (2008) the reported deviant /s/-production was 42,5% preoperatively.…”

Section: Introductionmentioning

confidence: 95%

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Lundeborg

Ericsson

Hultcrantz

et al. 2010

Logopedics Phoniatrics Vocology

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Tonsillar hypertrophy is common in young children and affects several aspects of the speech such as distortions of the dento-alveolar consonants. The study objective was to assess sarticulation, perceptually and acoustically in children with tonsillar hypertrophy and compare effects of two types of surgery, total tonsillectomy and tonsillotomy. Sixty-seven children, 50-65 months, on waiting list for surgery, were randomized to tonsillectomy or tonsillotomy. The speech material was collected pre-operatively and six months post-operatively. Two groups of age-matched children were controls. /S/-articulation was affected acoustically with lower spectral peak locations and perceptually with less distinct /s/-production before surgery, in comparison to controls. After surgery /s/-articulation was normalized perceptually, but acoustic differences still remained. No significant differences between surgical methods were found..

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Section: Introductionmentioning

confidence: 95%

Influence of adenotonsillar hypertrophy on /s/-articulation in children—effects of surgery

Lundeborg

Ericsson

Hultcrantz

et al. 2010

Logopedics Phoniatrics Vocology

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“…The postural modifications may in turn affect other orofacial functions such as chewing and swallowing, as well as several aspects of speech production including nasalance (a measure of the relative amounts of oral and nasal acoustic energy exhibited by a speaker), consonant articulation, and voice characteristics (7,8). Drooling is also a prevalent symptom in children with hypertrophic tonsils (9).…”

Section: Introductionmentioning

confidence: 99%

Oral motor dysfunction in children with adenotonsillar hypertrophy—effects of surgery

Lundeborg

McAllister

Graf

et al. 2009

Logopedics Phoniatrics Vocology

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Full terms and conditions of use: http://www.informaworld.com/terms-and-conditions-of-access.pdf This article may be used for research, teaching and private study purposes. Any substantial or systematic reproduction, re-distribution, re-selling, loan or sub-licensing, systematic supply or distribution in any form to anyone is expressly forbidden.The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material. Department of Nursing Science, School of Health Sciences, Jönköping, SwedenAbstract Adenotonsillar hypertrophy is associated with a wide range of problems. The enlargement causes obstructive symptoms and affects different functions such as chewing, swallowing, articulation, and voice. The objective of this study was to assess oral motor function in children with adenotonsillar hypertrophy using Nordic Orofacial Test-Screening (NOT-S) before and 6 months after surgery consisting of adenoidectomy combined with total or partial tonsil removal. A total of 67 children were assigned to either tonsillectomy (n 033) or partial tonsillectomy, 'tonsillotomy' (n034); 76 controls were assessed with NOT-S and divided into a younger and older age group to match pre-and post-operated children. Most children in the study groups had oral motor problems prior to surgery including snoring, open mouth position, drooling, masticatory, and swallowing problems. Post-surgery oral motor function was equal to controls. Improvement was independent of surgery method.

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“…Decreased SPI value in NS group may be related to a breathier and more forced voice, compared to the control group. 14,16 This condition may indicate stronger laryngeal adductor force, and may be a compensation for the higher inertance and resistance of the Turkiye Klinikleri J Med Sci 2014;34 (2) vocal tract. 16 We think that this finding may be associated with poor physical condition of children with NS.…”

Section: Discussionmentioning

confidence: 99%

“…14,16 This condition may indicate stronger laryngeal adductor force, and may be a compensation for the higher inertance and resistance of the Turkiye Klinikleri J Med Sci 2014;34 (2) vocal tract. 16 We think that this finding may be associated with poor physical condition of children with NS. In addition, some factors of vocal fold physiology and mechanical properties of vocal tract which may contribute to explain of differences in SPI values of the groups have to be considered for further research.…”

Section: Discussionmentioning

confidence: 99%