The oral manometer as a diagnostic tool in clinical speech pathology.
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Humans↗
Biomedical subjects
H L Morris
Publications and source records attributed to H L Morris.
The speech pathologist looks at the tonsils and the adenoids.
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Adenoidectomy↗
Indications of congenital palatal incompetence before diagnosis.
By questionnaire, parents of 28 children with CPI were asked about pregnancy and delivery; speech, developmental, and health history; and the circumstances of the CPI diagnosis. A normal control group was used for comparison. CPI children had lower birth weights and, during early childhood, were more poorly understood by parents and more frequently had nasalized speech. In 50%, CPI diagnosis was made following adenoidectomy. Data and clinical findings indicate that possible predictors of CPI are unusually defective speech production, particularly characterized by nasalization, as a young child; a short or poorly mobile palate; anterior dimpling of the soft palate during elevation; radiographic abnormalities of the cervical vertebrae; neurologic abnormalities (developmental milestones or clinical examination); and nasal leakage of liquids as a very young infant. Temporary velopharyngeal incompetence and nasalized speech may occur in the normal patient following adenoidectomy but the disorder resolves in a day or two. Persistent nasalized speech following adenoidectomy indicates the likelihood of CPI; such a patient requires evaluation by a speech pathologist and possible surgical correction.
Adenoidectomy↗
Multiview videoendoscopic evaluation of velopharyngeal physiology in 15 normal speakers.
Oral and nasal videoendoscopic procedures, when used in tandem, could provide a more useful analysis of velopharyngeal physiology than either procedure used alone. The purposes of this research were to document observed differences between the two approaches when applied to the examination of velopharyngeal function and to determine the advantages and disadvantages of using oral and nasal endoscopy as tandem diagnostic tools. The results indicated that patterns of velopharyngeal closure as observed from both the oral and nasal views are in approximately 60% agreement. Differences between the two perspectives most frequently involve the relative contributions of the pharyngeal walls. These differences are attributed to important physiologic variations along the vertical plane of the velopharynx. The data indicate that using oral and nasal videoendoscopy as tandem diagnostic procedures can result in improved understanding of velopharyngeal physiology. The issues of interference with speech movements and patient compliance are discussed.
Endoscopy↗