Document Detail

The effect of adenoid and tonsil surgery on nasalance.
MedLine Citation:
PMID:  1587028     Owner:  NLM     Status:  MEDLINE    
The change in nasalance following adenoidectomy, tonsillectomy and adenotonsillectomy was studied in 44 children. A subjective assessment of each child's naso-pharyngeal airway was made preoperatively based on a questionnaire completed by the parents. There was no significant change in the nasalance of children following adenoidectomy, but there was a significant increase in the nasalance following tonsillectomy (P = 0.02) and after adenotonsillectomy (P = 0.001). There was no relationship between the change in nasalance and the adenoid volume removed at operation. There was good agreement between the parental subjective assessment of the naso-pharyngeal airway and the preoperative nasalance score, with the best correlation in the adenoidectomy group (r = -0.8) and the adenotonsillectomy group (r = -0.7). Nasalance is more closely related to the size of the naso-pharyngeal airway than to the actual adenoid volume, and measurements of nasalance are of no benefit in predicting adenoid volume. Tonsillectomy had a significantly greater effect on nasalance than adenoidectomy, and adenotonsillectomy had the greatest effect. Further studies are needed to relate nasalance to the size of the naso-pharyngeal airway, but it appears to relate well to the subjective assessment of the airway and may be of use in patient selection for surgery.
R G Williams; M Preece; R Rhys; R Eccles
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical otolaryngology and allied sciences     Volume:  17     ISSN:  0307-7772     ISO Abbreviation:  Clin Otolaryngol Allied Sci     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-06-22     Completed Date:  1992-06-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7701793     Medline TA:  Clin Otolaryngol Allied Sci     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  136-40     Citation Subset:  IM    
Department of Otolaryngology, University Hospital of Wales, Cardiff, UK.
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MeSH Terms
Adenoids / pathology
Child, Preschool
Nasal Obstruction / pathology
Nasopharynx / pathology
Phonation / physiology
Speech / physiology*
Speech Acoustics
Speech Intelligibility
Voice Quality / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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