Adenoids/tonsils

Question 1

How are enlarged tonsils rated?

Answer 1

1+, 2+, 3+, 4+

Question 2

What effect can enlarged tonsils have in the mouth?

Answer 2

muffled resonance, may make tongue postured down and forward

Question 3

Does surgery for enlarged palatine tonsils usually impact speech?

Answer 3

No effect or positive effect

Question 4

What are the adenoids?

Answer 4

AKA pharyngeal tonsils

Question 5

Where are the adenoids?

Answer 5

back wall of nasopharynx, above level of oral cavity (can’t see when look in mouth)

Question 6

What can result from enlarged adenoids?

Answer 6

may block eustachian tube orifice, may cause hypernasality or NAE

Question 7

When might adenoids be surgically removed?

Answer 7

enlarged with sleep apnea (75%), recurrent otitis media in children 4 and older, recurrent sinusitis

Question 8

What are possible complications for speech after an adenoidectomy?

Answer 8

Temporary hypernasality (up to 50%), permanent resonance disorder due to VPD=1/1500

Question 9

What are risk factors for VPD?

Answer 9

cleft or family history of cleft, submucous cleft, history of nasal regurgitation or sucking difficulty, history of neuromotor dysfunction, moderate-severe phonological delay, marginal VP function