Hypernasal Speech Is Perceived as More Monotonous than Typical Speech

2018 ◽  
Vol 70 (3-4) ◽  
pp. 183-190 ◽  
Author(s):  
Monique Tardif ◽  
Larissa Cristina Berti ◽  
Viviane Cristina de Castro Marino ◽  
Jennifer Pardo ◽  
Tim Bressmann
Keyword(s):  
Hypernasal Speech

Instrumental Assessment in Cleft Palate Care

2013 ◽  
Vol 23 (2) ◽  
pp. 49-61 ◽  
Author(s):  
Jamie Perry ◽  
Graham Schenck
Keyword(s):  
Cleft Palate ◽  
New Developments ◽  
Perceptual Evaluation ◽  
Advantages And Disadvantages ◽  
Instrumental Assessment ◽  
Speech Language Pathologist ◽  
Hypernasal Speech ◽  
Perceptual Assessment ◽  
Velopharyngeal Function ◽  
And Function

Despite advances in surgical management, it is estimated that 20–30% of children with repaired cleft palate will continue to have hypernasal speech and require a second surgery to create normal velopharyngeal function (Bricknell, McFadden, & Curran, 2002; Härtel, Karsten, & Gundlach, 1994; McWilliams, 1990). A qualitative perceptual assessment by a speech-language pathologist is considered the most important step of the evaluation for children with resonance disorders (Peterson-Falzone, Hardin-Jones, & Karnell, 2010). Direct and indirect instrumental analyses should be used to confirm or validate the perceptual evaluation of an experienced speech-language pathologist (Paal, Reulbach, Strobel-Schwarthoff, Nkenke, & Schuster, 2005). The purpose of this article is to provide an overview of current instrumental assessment methods used in cleft palate care. Both direct and indirect instrumental procedures will be reviewed with descriptions of the advantages and disadvantages of each. Lastly, new developments for evaluating velopharyngeal structures and function will be provided.

scholarly journals Persistent Hypernasal Speech after Pharyngeal Flap Operation; A Report of Two Cases.

1991 ◽  
Vol 84 (8) ◽  
pp. 1085-1089
Author(s):  
Kazunori Mori ◽  
Michio Kawano ◽  
Iwao Honjo ◽  
Eiichi Fujimura
Keyword(s):  
Hypernasal Speech ◽  
Pharyngeal Flap

Automatic detection of hypernasal speech signals using nonlinear and entropy measurements

2012 ◽  
Author(s):  
Juan Rafael Orozco-Arroyave ◽  
Julian David Arias-Londoño ◽  
Jesús Francisco Vargas-Bonilla ◽  
Elmar Nöth
Keyword(s):  
Automatic Detection ◽  
Speech Signals ◽  
Hypernasal Speech

Treatment of Asymmetric Velopharyngeal Insufficiency with Skewed Pharyngeal Flap

1994 ◽  
Vol 31 (4) ◽  
pp. 287-294 ◽  
Author(s):  
Ravelo V. Argamaso ◽  
Gerald J. Levandowski ◽  
Karen J. Golding-Kushner ◽  
Robert J. Shprintzen
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Tumor Resection ◽  
Velocardiofacial Syndrome ◽  
Velopharyngeal Insufficiency ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Wall Movement ◽  
Hypernasal Speech

Twenty-two patients, with hypernasal speech and asymmetric velopharyngeal insufficiency (VPI) identified preoperatively by multi-view videofluoroscopy and nasopharyngoscopy, were managed with superiorly based pharyngeal flaps skewed to the side with reduced lateral pharyngeal wall movement. Patient age ranged from 5 to 58 years. The etiology of the VPI included cleft palate with or without cleft lip, neurogenic VPI, velocardiofacial syndrome, tumor resection or latrogenic causes, submucous cleft palate, neurofibromatosis, and hemifacial microsomia. Follow-up, at 1 year and thereafter, showed resolution of VPI in all but two patients. An auxiliary flap to augment the primary flap was added on the side of diminished lateral pharyngeal wall motion which corrected the residual VPI. Three patients developed hyponasality. One was a child whose symptoms improved with time and growth. Two were adults, but the hyponasal resonance was mild and required no further Intervention. The advantage of skewing flaps is that at least one port functions adequately for ease in respiration and for drainage of secretions, thus reducing the risk of nasal obstruction. One open port also allows access for nasoendotracheal intubation should anesthetic be required for future operations.

Modified Von Langenbeck Cleft Palate Repair Using an Anterior Triangular Flap: Decreased Incidence of Anterior Oronasal Fistulas

2009 ◽  
Vol 46 (3) ◽  
pp. 299-304 ◽  
Author(s):  
Tara Lynn Stewart ◽  
David M. Fisher ◽  
Jaret L. Olson
Keyword(s):  
Cleft Palate ◽  
Anterior Margin ◽  
Fistula Formation ◽  
Anterior Portion ◽  
Oronasal Fistula ◽  
Triangular Flap ◽  
Secondary Palate ◽  
Nasal Side ◽  
Cleft Palate Repair ◽  
Hypernasal Speech

Objective: A complication following cleft palate surgery is the development of oronasal fistulas. Despite recent advances aimed at addressing this concern, rates of postoperative fistulas have remained unchanged and are reported at between 3% and 60%. Oronasal fistulas commonly occur between the hard and soft palate and at the anterior portion of the cleft. These fistulas lead to functional problems with nasal emission, hypernasal speech, and food regurgitation through the nose. For clefts of the secondary palate, we developed a modification of the Von Langenbeck technique in which an anterior triangular flap is used to decrease the incidence of postoperative fistulas. Method: A triangular flap composed of oromucosa was designed for isolated clefts of the secondary palate only. It is based at the anterior margin of the cleft and is used as a turnover flap to allow closure of the often very tight anterior nasal side. A retrospective chart analysis was performed from 2000 to 2007. All patients who had isolated clefts of the secondary palate and had undergone a modified Von Langenbeck procedure were included in the study. Patients were evaluated 4 to 8 weeks postoperatively for the presence of oronasal fistulas. Results: With the introduction of the anterior triangular flap, we show that 0 of 182 patients developed a postoperative oronasal fistula. Conclusions: This modification of the standard Von Langenbeck uses an anterior triangular flap and confers the advantage of assisting in nasal side closure of the anterior margin of the cleft; in doing so, it reduces the rate of fistula formation.

scholarly journals Case Report Molecular characterization of microduplication 22q11.2 in a girl with hypernasal speech

2011 ◽  
Vol 10 (3) ◽  
pp. 2148-2154 ◽  
Author(s):  
Y. Soysal ◽  
J. Vermeesch ◽  
N.A. Davani ◽  
N. Şensoy ◽  
K. Hekimler ◽  
...  
Keyword(s):  
Case Report ◽  
Molecular Characterization ◽  
Hypernasal Speech

scholarly journals Lujan–Fryns Syndrome (LFS): A Unique Combination of Hypernasality, Marfanoid Body Habitus, and Neuropsychiatric Issues, Presenting as Acute-Onset Dysphagia

2016 ◽  
Vol 9 ◽  
pp. CCRep.S41083 ◽  
Author(s):  
Abidullah Khan ◽  
Mohammad Humayun ◽  
Iqbal Haider ◽  
Maimoona Ayub
Keyword(s):  
Family History ◽  
English Language ◽  
Positive Family History ◽  
Acute Onset ◽  
Facial Dysmorphism ◽  
Body Habitus ◽  
Behavioral Issues ◽  
History Of ◽  
Hypernasal Speech ◽  
Med12 Gene

Background Lujan–Fryns syndrome (LFS) is an extremely rare, X-linked disorder, for which the full clinical spectrum is still unknown. Usually, it presents with neuropsychiatric problems such as learning disabilities and behavioral issues in a typical combination with marfanoid features. Often, there is a positive family history for the disorder. However, sporadic cases have also been reported in males. More interestingly, there is no case of LFS presenting with acute-onset dysphagia in the English language medical literature. Case Presentation A 17-year-old Pakistani mentally normal school boy was admitted for the workup of acute-onset dysphagia, hypernasal speech, and nasal regurgitation of liquids. He had no neuropsychiatric issues, and his family history was unremarkable. An obvious nasal twang, facial dysmorphism, and marfanoid body habitus were found on examination. The genetic tests revealed a pathogenic missense mutation in the MED12 gene on his X-chromosome. Conclusion LFS can present as acute-onset dysphagia and in the absence of any neuropsychiatric issues or positive family history of the syndrome.

Velopharyngeal insufficiency in patients without a cleft palate: important considerations for the ENT surgeon

2020 ◽  
Vol 134 (3) ◽  
pp. 252-255
Author(s):  
E Mushi ◽  
N Mahdi ◽  
N Upile ◽  
C Hevican ◽  
S McKernon ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Paediatric Population ◽  
Velopharyngeal Insufficiency ◽  
Consent Process ◽  
Aetiological Factor ◽  
Case Review ◽  
Retrospective Case ◽  
Predisposing Factor ◽  
Significant Complication ◽  
Hypernasal Speech

AbstractBackgroundVelopharyngeal insufficiency is the inability to close the velopharyngeal port during speech and swallowing, leading to hypernasal speech and food regurgitation.ObjectiveThis study aimed to explore the aetiological factors contributing to the development of velopharyngeal insufficiency in a non-cleft paediatric population, especially following adenoidectomy.MethodsA retrospective case review was conducted of all children without a known cleft palate, born between 2000 and 2013, who were referred to a tertiary cleft centre with possible velopharyngeal insufficiency.ResultsThe data for 139 children diagnosed with velopharyngeal insufficiency following referral to the cleft centre were analysed. Thirteen patients developed the condition following adenoidectomy; only 3 of these 13 had a contributing aetiological factor.ConclusionVelopharyngeal insufficiency is a rare but significant complication of adenoidectomy. The majority of patients who developed velopharyngeal insufficiency following adenoidectomy did not have an identifiable predisposing factor. This has important implications for the consent process and when planning adenoidectomy.

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