OBJECTIVE The main purpose of this study is to determine the treatment effectiveness of pharyngeal flap surgery by measuring speech outcome 1 year after surgery. The authors hypothesized that flap surgery is an effective technique for velopharyngeal inadequacy resulting in improved intelligibility, decreased hypernasality and nasalance scores and normal voice characteristics. PATIENTS AND MET...

Heroin induced palatal perforation is a very infrequent complication. The authors report in this study a patient who suffered palatal perforation as a result of long time of snorting Heroin. He presented complaining of liquid passage from the oral cavity into the nasal cavities and hypernasality during speech. An immediate transparent acrylic partial obturator was constructed and fitted. It was...

OBJECTIVE To assess the effects of chronic tonsillitis with or without adenoiditis and the effects of tonsillectomy with or without adenoidectomy on the voice by means of acoustic analysis. DESIGN Prospective case-control study. SETTING Yenepoya Medical College Hospital, a tertiary referral hospital. PATIENTS Patients 5 to 26 years old with chronic tonsillitis with or without adenoiditis....

91 Tuberculosis of the oral cavity is often a consequence of active pulmonary tuberculosis. Tuberculosis of the oral cavity may occasionally result from a hematogenous spread of mycobacteria [1]. However, in the described patient, tuberculosis was not detected at any other body site. Although the larynx is commonly involved in upper respiratory tract tuberculosis, the anterior pillar of the fau...

This study presents clinical outcomes of primary cleft palate surgery, including rate of oronasal fistula development, rate of velopharyngeal insufficiency (VPI) requiring secondary surgery, and speech outcomes. We examined the effect of cleft type on the clinical outcomes. Retrospective analysis was performed using clinical records of all patients who received a primary palatoplasty at the Cle...

OBJECTIVE To describe and show the feasibility of a new surgical technique for transoral robotic surgery (TORS) radical tonsillectomy. DESIGN A prospective, phase 1 clinical trial. SETTING Academic, tertiary referral center. PATIENTS A total of 27 participants were prospectively selected using a volunteer sample. All eligible patients agreed to participate in the study. INTERVENTIONS Pa...

The tongue is as an organ of speech and articulation not as indispensable as the soft palate. The recovery of speech after extirpation of the tongue is usually satisfactory, and the intelligibility of patients with microglossia compares favourably with the speech of an untreated cleft palate patient. Hypernasality and nasal escape of air are typical also for the congenital short palate (in the ...

Objective: The main purpose of this study is to determine the treatment effectiveness of pharyngeal flap surgery by measuring speech outcome 1 year after surgery. The authors hypothesized that flap surgery is an effective technique for velopharyngeal inadequacy resulting in improved intelligibility, decreased hypernasality and nasalance scores and normal voice characteristics. Patients and Meth...

BACKGROUND Nasometry has supplemented perceptual assessments of nasality, using speech stimuli, which are devoid of nasal consonants. However, such speech stimuli are not representative of conversational speech. A weak relationship has been found in previous studies between perceptual ratings of hypernasality and nasalance scores for passages containing nasal consonants. AIMS This study aimed...

We investigated the evolution of the neurological and neuropsychological characteristics in a right-handed woman who was 53-years-old at the onset and who showed personality changes and behavioral disorders accompanied by progressive dysarthria. She had hypernasality and a slow rate of speech with distorted consonants and vowels, which progressed as motor disturbances affecting her speech appar...