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- W2091929812 abstract "The author presents a follow-up report on 33 patients with open nasal speech following adenotonsillectomy (incidence one in 3000 patients) and on 4 cases following adenoidectomy (incidence one in 10,000 patients). Important etiological factors mentioned were: congenital malformation or post-operative lesion of the soft palate, an oblong nasopharyngeal shape, and injury to the posterior pharyngeal wall, with traumatic “notching”. Predisposing factors were speech defects, hearing disorders, mental disorders, as well as retarded body development, asthenia and dolichocephalia, predominantly in the female sex. Speech-therapy was effective in all cases following adenoidectomy and in 26 cases following adenotonsillectomy; 4 patients were submitted to a push-back operation, and 3 to a velopharyngo-plasty. The average velopharyngeal distances in the non-operative cases measured 5 mm for vowels and 212 mm for consonants; in operative cases 7 mm or more for vowels and 4 mm for consonants (roentgenographic analysis by means of velopharyngography). A final evaluation of the speech results is given after a 15-year period of follow-up. A slight nasality (near nasal consonants and in some vowels) was perceivable in the majority of the group, which hardly influenced the intelligibility of speech." @default.
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- W2091929812 date "1974-09-01" @default.
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- W2091929812 title "Open nasal speech following adenoidectomy and tonsillectomy" @default.
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- W2091929812 doi "https://doi.org/10.1016/0021-9924(74)90037-9" @default.
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