The importance of endoscopic evaluation of adenotonsillar hypertrophy and its influence on nasal resonance and articulation in children

• Authors: Hortis-Dzierzbicka Maria , Tokarczyk Mikołaj , Demidowicz Robert , Zomkowska Edyta , Gonet Wiktor , Osowicka-Kondratowicz Magdalena
• Languages of publication: EN

Abstracts

EN

Adenotonsillar hypertrophy is very common in childhood. Obstruction of the nasopharyngeal airway may cause obligatory oral breathing, chronic open-mouth posture, incorrect inferior or anterior-inferior position of the tongue, disordered swallowing and impaired facial growth. Facial growth disorders frequently result in onset of the specific types of malocclusion and specific speech disorders. Obstruction of the pharynx during sleep by adenotonsillar hypertrophy remains the main cause of sleep apnea syndrome in children. Obstruction of the upper airway by the enlarged adenoid and/or hypertrophic tonsils may lead to hyponasality of the voice and/or cul-de-sac resonance. Malocclusions, in turn, in association with the incorrect tongue positioning in the oral cavity give rise to the disordered articulation of anterior consonants.

Keywords

EN

adenotonsillar hypertrophy; upper airway obstruction; nasendoscopy; swallowing; malocclusion; resonance; articulation

• Publisher: Polskie Towarzystwo Logopedyczne
• Journal: Logopedia
• Year: 2014-2015
• Volume: 43-44 EN
• Pages: 203-210

Dates

published

2014-01-01

Contributors

author

Hortis-Dzierzbicka Maria

• Department of Otolaryngology and Maxillofacial Surgery, Clinical University Hospital in Olsztyn
• University of Warmia and Mazury, Olsztyn

author

Tokarczyk Mikołaj

• Department of Otolaryngology and Maxillofacial Surgery, Clinical University Hospital in Olsztyn

author

Demidowicz Robert

• Department of Otolaryngology and Maxillofacial Surgery, Clinical University Hospital in Olsztyn

author

Zomkowska Edyta

• Department of Otolaryngology and Maxillofacial Surgery, Clinical University Hospital in Olsztyn

author

Gonet Wiktor

• Institute of English Studies, Department of Phonetics and Phonology, Maria Curie-Skłodowska University, Lublin

author

Osowicka-Kondratowicz Magdalena

• University of Warmia and Mazury, Olsztyn

References

• Cauwenberge P. B. van, Bellussi L., Maw A. R., Paradise J. L., Solow B., 1995, The adenoid as a key factor in upper airway infections, “Int. J. Ped. Otorhinolaryng.”, 32, pp. 71–80.
• Cheng M. Ch., Elnow D. H., Papsidero M., Broadbent B. H., Oyen O., Sabat M., 1988, Developmental effects of impaired breathing in the face of the growing child, “Angle Orthod.”, 58, pp. 309–320.
• Finkenstein Y., Nachmani A., Ophir D., 1994, The functional role of the tonsils in speech, “Arch. Otolaryng. Head Neck Surg.”, 120, pp. 846–851.
• Finkenstein Y., Berger G., Nachmani A., Ophir D., 1996, The functional role of the adenoids in speech, “Int. J. Ped. Otorhinolaryng.”, 34, pp. 61–74.
• Gereau S. A., Shprintzen R., 1988, The role of adenoids in the development of normal speech following palate repair, “Laryngoscope”, 98, pp. 299–303.
• Hortis-Dzierzbicka M., 2004, Nasofiberoskopia w ocenie zastosowania płata gardłowego w niewydolności podniebienno-gardłowej u pacjentów z rozszczepem podniebienia (Rozprawa na stopień doktora habilitowanego nauk medycznych). Wyd. Med. Borgis. Warszawa.
• Hortis-Dzierzbicka M., 2010/2011, Rozszczep podśluzówkowy podniebienia. Rozpoznawanie i leczenie, “Logopedia”, 39/40, pp. 83–92.
• Hultcrantz E., Larson M., Hellquist R., Ahlquist-Rastad J., Svanholm H., Jakobsson P. O., 1991, The influence of tonsillar obstruction and tonsillectomy on facial growth and dental arch morphology, “Int. J. Ped. Otorhinolaryng.”, 22, pp. 125–134.
• Konopska L., 2002, Jakość realizacji polskich fonemów dentalnych u osób z wadą zgryzu, “Logopedia”, 30, pp. 105–114.
• Kummer A. W., Billmire D. A., Myer Ch., 1993, Hypertrophic tonsils: the effect on resonance and velopharyngeal closure, “Plast. Reconstr. Surg.”, 91, pp. 608–611.
• Linder-Aronson S., 1979, Adenoids. Their effect on mode of breathing ans nasal airflow and their relationship to characteristics of the facial skeleton and the dentition, “Acta Otolaryng.”, Suppl.
• Mackiewicz B., 1992, Znaczenie oddychania przez nos dla morfo-czynnościowego kształtowania się jamy ustnej, “Pediatria Polska”, 67, pp. 1–4.
• Raftowicz-Wójcik K., Matthews-Brzozowska ??, 2005, Wady zgryzu a wady wymowy – przegląd piśmiennictwa, “Dent. Med. Probl.”, 42, pp. 149–154.
• Shprintzen R. J., Sher A. E., Croft Ch. B., 1987, 1996, Hypernasal speech caused by tonsillar hypertrophy, “Int. J. Ped. Otorhinolaryng.”, 34, pp. 61–74.
• Stecko E., Hortis-Dzierzbicka M. 2000, Seplenienie międzyzębowe – norma wiekowa czy patologia?, 18, pp. 30–33.
• Stecko E., Hortis-Dzierzbicka M., Kulewicz M., 2005, Zależność między oddychaniem i połykaniem a wadami zgryzu i artykulacji u małych dzieci, “Pediatria Polska”, 80, pp. 895–898.
• Vallino L. D., Tompson B., 1993, Perceptual characteristics of consonant errors associated with maloccusion, “J. Oral Maxillofac Surg.”, 51, pp. 850–856.
• Witzel M. A., 1986, Velopharyngeal insufficiency after adenoidectomy: an 8-year overview, “Int. J. Pediatr. Otolaryng.”, 11, pp. 15–20.
• Woodside D. W., Linder-Aronson S., Lundstrom A., McWilliam J., 1991, Mandibular and maxillary growth after changed mode of breathing, “Am. J. Orthod. Dentofac. Orthop.”, 100, pp. 1–18.