Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
권호 표지
DOI QR코드

DOI QR Code

Articulation error of children with adenoid hypertrophy

  • Eom, Tae-Hoon (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Jang, Eun-Sil (Department of Speech-Language Therapy, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Young-Hoon (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Chung, Seung-Yun (Department of Pediatrics, The Catholic University of Korea College of Medicine) ;
  • Lee, In-Goo (Department of Pediatrics, The Catholic University of Korea College of Medicine)
  • 투고 : 2013.11.11
  • 심사 : 2014.01.22
  • 발행 : 2014.07.10
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Adenoid hypertrophy is a physical alteration that may affect speech, and a speech disorder can have other negative effects on a child's life. Airway obstruction leads to constricted oral breathing and causes postural alterations of several oro-facial structures, including the mouth, tongue, and hyoid bone. The postural modifications may affect several aspects of speech production. Methods: In this study, we compared articulation errors in 19 children with adenoid hypertrophy (subject group) to those of 33 children with functional articulation disorders independent of anatomical problems (control group). Results: The mean age of the subject group was significantly higher (P=0.016). Substitution was more frequent in the subject group (P=0.003; odds ratio [OR], 1.80; 95% confidence interval [CI], 1.23- 2.62), while omission was less frequent (P<0.001; OR, 0.43; 95% CI, 0.27-0.67). Articulation errors were significantly less frequent in the palatal affricative in the subject group (P=0.047; OR, 0.25; 95% CI, 0.07-0.92). The number of articulation errors in other consonants was not different between the two groups. Nasalization and aspiration were significantly more frequent in the subject group (P=0.007 and 0.014; OR, 14.77 and 0.014; 95% CI, [1.62-135.04] and NA, respectively). Otherwise, there were no differences between the two groups. Conclusion: We identified the characteristics of articulation errors in children with adenoid hypertrophy, but our data did not show the relationship between adenoid hypertrophy and oral motor function that has been observed in previous studies. The association between adenoid hypertrophy and oral motor function remains doubtful.

키워드

참고문헌

  1. Tankel JW, Cheesman AD. Symptom relief by adenoidectomy and relationship to adenoid and post-nasal airway size. J Laryngol Otol 1986;100:637-40.
  2. Ericsson E, Lundeborg I, Hultcrantz E. Child behavior and quality of life before and after tonsillotomy versus tonsillectomy. Int J Pediatr Otorhinolaryngol 2009;73:1254-62.
  3. Lundeborg I, Ericsson E, Hultcrantz E, McAllister AM. Influence of adenotonsillar hypertrophy on /s/-articulation in children: effects of surgery. Logoped Phoniatr Vocol 2011;36:100-8.
  4. Lofstrand-Tidestrom B, Hultcrantz E. The development of snoring and sleep related breathing distress from 4 to 6 years in a cohort of Swedish children. Int J Pediatr Otorhinolaryngol 2007;71:1025-33.
  5. Lofstrand-Tidestrom B, Thilander B, Ahlqvist-Rastad J, Jakobsson O, Hultcrantz E. Breathing obstruction in relation to craniofacial and dental arch morphology in 4-year-old children. Eur J Orthod 1999;21:323-32.
  6. Hultcrantz E, Larson M, Hellquist R, Ahlquist-Rastad J, Svanholm H, Jakobsson OP. The influence of tonsillar obstruction and tonsillectomy on facial growth and dental arch morphology. Int J Pediatr Otorhinolaryngol 1991;22:125-34.
  7. Moss ML, Salentijn L. The primary role of functional matrices in facial growth. Am J Orthod 1969;55:566-77.
  8. Lundeborg I, McAllister A, Graf J, Ericsson E, Hultcrantz E. Oral motor dysfunction in children with adenotonsillar hypertrophy--effects of surgery. Logoped Phoniatr Vocol 2009;34:111-6.
  9. Di Francesco RC, Passeroti G, Paulucci B, Miniti A. Mouth breathing in children: different repercussions according to the diagnosis. Rev Bras Otorrinolaringol 2004;70:665-70.
  10. Rizzo C, Hauache S, Naspitz N, Pignatari S, Junqueira P, Hallinan M, et al. Characteristics of children with allergic rhinitis and chronic mouth breathing. J Allergy Clin Immunol 2002;109(1 Suppl 1):S263.
  11. Valera FC, Trawitzki LV, Anselmo-Lima WT. Myofunctional evaluation after surgery for tonsils hypertrophy and its correlation to breathing pattern: a 2-year-follow up. Int J Pediatr Otorhinolaryngol 2006;70:221-5.
  12. Valera FC, Travitzki LV, Mattar SE, Matsumoto MA, Elias AM, Anselmo-Lima WT. Muscular, functional and orthodontic changes in preschool children with enlarged adenoids and tonsils. Int J Pediatr Otorhinolaryngol 2003;67:761-70.
  13. Kim YT. Study of percentage of correct consonant in preschool children using picture consonant test. Speech Lang Disabil Res 1996;1:7-23.
  14. Haapaniemi JJ. Adenoids in school-aged children. J Laryngol Otol 1995;109:196-202.
  15. Ingram D, Dubasik VL. Multidimensional assessment of phonological similarity within and between children. Clin Linguist Phon 2011;25:962-7.
  16. Macken MA. Permitted complexity in phonological development: one child's acquisition of Spanish consonants. Lingua 1978;44:219-53.
  17. Salami A, Jankowska B, Dellepiane M, Crippa B, Mora R. The impact of tonsillectomy with or without adenoidectomy on speech and voice. Int J Pediatr Otorhinolaryngol 2008;72:1377-84.
  18. Lee AS, Whitehill TL, Ciocca V, Samman N. Acoustic and perceptual analysis of the sibilant sound /s/ before and after orthognathic surgery. J Oral Maxillofac Surg 2002;60:364-72.
  19. Behlfelt K, Linder-Aronson S, McWilliam J, Neander P, Laage-Hellman J. Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod 1990;12:233-43.
  20. Sussman HM, Shore J. Locus equations as phonetic descriptors of consonantal place of articulation. Percept Psychophys 1996;58:936-46.
  21. Subramaniam V, Kumar P. Impact of tonsillectomy with or without adenoidectomy on the acoustic parameters of the voice: a comparative study. Arch Otolaryngol Head Neck Surg 2009;135:966-9.
  22. Subtelny JD, Baker HK. The significance of adenoid tissue in velopharyngeal function. Plast Reconstr Surg (1946) 1956;17:235-50.
  23. Shprintzen RJ, Sher AE, Croft CB. Hypernasal speech caused by tonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 1987;14:45-56.
  24. Parsa V, Jamieson DG. Identification of pathological voices using glottal noise measures. J Speech Lang Hear Res 2000;43:469-85.
  25. Yu P, Ouaknine M, Revis J, Giovanni A. Objective voice analysis for dysphonic patients: a multiparametric protocol including acoustic and aerodynamic measurements. J Voice 2001;15:529-42.

피인용 문헌

  1. Oral habits in Children with Cleft (Lip and) Palate: A Pilot Study vol.71, pp.4, 2014, https://doi.org/10.1159/000495611