Perturbed nasal resonance – An insight into alterations in post adenoidectomy patients
Introduction Adenoidectomy with or without tonsillectomy is a common procedure performed by otolaryngologist in children. Most children between the ages 4 to 12 years have a relative hypertrophy of the lymphoid tissue in pharynx, including both tonsil and adenoid. This enlargement can cause obs...
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Format: | Article |
Language: | English |
Published: |
Prathima Institute of Medical Sciences
2017-12-01
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Series: | Perspectives In Medical Research |
Subjects: | |
Online Access: | http://www.pimr.org.in/vinay_vol5-issue3-2017.PDF |
Summary: | Introduction
Adenoidectomy with or without tonsillectomy is a
common procedure performed by otolaryngologist in children.
Most children between the ages 4 to 12 years have a relative
hypertrophy of the lymphoid tissue in pharynx, including both
tonsil and adenoid. This enlargement can cause obstructive
symptoms of varying degree and several aspects of the speech
spectrum such as resonance and articulation are reported to
be negatively affected. Change in voice after surgery is often a
cause of concern among patients and parents, more so among
those who use their voices in a professional capacity. The
purposes of the study were to assess the pre and post
operatively changes in nasal resonance following
adenoidectomy in children.
Materials & Methods:
The children between 4 to 12 years suffering from
chronic adenoiditis, who underwent adenoidectomy at Father
Muller Medical College Hospital, Mangalore from November
2015 to June 2016 were included in the study. The children
were subjected to detailed ear, nose and throat examination,
X- ray of nasopharynx, diagnostic nasal endoscopy and
nasometry before adenoidectomy surgery and compared with
3 weeks after surgery.
Results: A total of 60 patients were enrolled, out of
these 21 were male and 39 were female. The maximum patients
were seen in the 7 to 9 age group and majority of the patients
were noted to have Grade III tonsils (46.60%) at the time of
surgery. The mean preoperative nasalance score was 47.30
percent which decreased to 16.85 percent postoperatively,
showed significance (p=0.000).
Conclusion: Adenoidectomy can alter the acoustic
characteristics of the vocal tract and causes alterations in the
nasality.Therefore, surgeon can reassure patients, especially
voice professionals. |
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ISSN: | 2348-1447 2348-229X |