speech outcomes after tonsillectomy in patients with known velopharyngeal insufficiency演讲结果扁桃腺切除术后患者velopharyngeal不足.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2012, Article ID 912767, 4 pages doi:10.1155/2012/912767 Research Article Speech Outcomes after Tonsillectomy in Patients with Known Velopharyngeal Insufficiency L. M. Paulson, C. J. MacArthur, K. B. Beaulieu, J. H. Brockman, and H. A. Milczuk Division of Pediatric Otolaryngology, Department of Otolaryngology/Head and Neck Surgery, Division of Speech and Language Pathology, Doernbecher Children’s Hospital, OHSU Portland, OR 97239, USA Correspondence should be addressed to L. M. Paulson, paulsonl@ Received 16 August 2011; Accepted 4 October 2011 Academic Editor: Steven Goudy Copyright © 2012 L. M. Paulson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Controversy exists over whether tonsillectomy will affect speech in patients with known velopharyngeal insufficiency (VPI), particularly in those with cleft palate. Methods. All patients seen at the OHSU Doernbecher Children’s Hospital VPI clinic between 1997 and 2010 with VPI who underwent tonsillectomy were reviewed. Speech parameters were assessed before and after tonsillectomy. Wilcoxon rank-sum testing was used to evaluate for significance. Results. A total of 46 patients with VPI underwent tonsillectomy during this period. Twenty-three had pre- and postoperative speech evaluation sufficient for analysis. The majority (87%) had a history of cleft palate. Indications for tonsillectomy included obstructive sleep apnea in 11 (48%) and staged tonsillectomy prior to pharyngoplasty in 10 (43%). There was no significant difference between pre- and postopera