ADENOID VEGETATION FROM THE POINT OF VIEW OF AN ENT SPECIALIST AND PHONIATRIST
Authors:
MUDr. Hošnová Dagmar, Ph.D. 1; MUDr. Urík Milan, Ph.D. 1
Authors‘ workplace:
Klinika dětské ORL FN Brno, Dětská nemocnice, Černopolní 9, 602 00 Brno
1
Published in:
Listy klinické logopedie 2020; 4(1): 27-30
Category:
Main topic
Overview
Rhinolalia is the pathological increase or decrease of nasality in speech. One of the most common causes of rhinolalia clausa in children is adenoid vegetation. This is clinically manifested by mechanical obstruction of the nasopharynx, with resulting symptoms such as nasal respiratory distress, snoring, sleep apnoea syndrome, snuffing, obstruction of the tubal torus with subsequent exudate in the middle ear and hearing impairment. It further acts as an infectious focus with a number of complications. Diagnosis is based on clinical symptoms, and examination of the nasopharynx, which fully fall within the competence of an ENT specialist. It is often desirable to consult a phoniatrist and speech therapist to assess an as yet undetected submucosal cleft palate. In these cases, removal of the nasal tonsil seems inappropriate. The causal therapy of an enlarged nasal tonsil is its extraction and, in some cases, it is possible to wait for spontaneous involution.
Keywords:
rhinolalia – adenoid vegetation – sleep apnoea syndrome – hearing impairment – adenotomy
Sources
- DRŠATA, J., CHROBOK, V. et al., 2011. Foniatrie – hlas, Havlíčkův Brod: Tobiáš. ISBN 978-80-7311-116-8.
- FNOL.CZ. Fakultní nemocnice Olomouc nabízí odstraňování mandlí u dětí plazmovou koblací. Nová metoda zbaví malé pacienty bolesti. In: Fnol.cz/Aktuality [online]. Dostupné z: https://www.fnol.cz/aktuality/fakultni-nemocnice-olomouc-nabizi-odstranovani-mandli-u-deti-plazmovou-koblaci-nova-metoda-zbavi-male-pacienty-bolesti
- KLEMSOVÁ, L., 2008. Dechová cvičení v logopedické praxi se zaměřením na otevřenou a zavřenou huhňavost. Rigorózní práce. Praha: Univerzita Karlova.
- MATOUŠEK, P. a kol., 2014. Adenoidectomie. Příručka pro praxi. Praha: Merck.
- ŠKODOVÁ, E., JEDLIČKA, I. a kol., 2003. Klinická logopedie: Praha: Portál. ISBN 80-7178-546-6.
- ŠLAPÁK, I. a kol., 2019. Dětská Otorinolaryngologie. 2. vydání. Praha: Mladá fronta. ISBN 978-80-204-5426-3.
- ŠLESINGEROVÁ, E., 2019. Význam nazální respirace v logopedické péči se zaměřením na prevenci adenotomie. Diplomová práce. Univerzita Palackého v Olomouci.
- TWEEDIE, D. J. a kol., 2009. Partial adenoidectomy by suction diathermy in children with cleft palate, to avoid velopharyngeal insufficiency. International Journal of Pediatric Otorhinolaryngology. Nov; 73(11), s. 1594-7. DOI: 10.1016/j.ijporl.2009.08.014. Epub 2009 Sep 8.
- URÍK, M. a kol., 2019. Adenoidní vegetace a adenotomie v dětském věku. Česko-slovenská pediatrie. 74(8), s. 468-471.
Labels
Clinical speech therapy General practitioner for children and adolescentsArticle was published in
Listy klinické logopedie
2020 Issue 1
Most read in this issue
- PRIMARY REFLEXES AND THEIR INFLUENCE ON MOTOR AND SPEECH DEVELOPMENT
- ADENOID VEGETATION FROM THE POINT OF VIEW OF AN ENT SPECIALIST AND PHONIATRIST
- UPPER AIRWAY OBSTRUCTION IN RHINITIS AND RHINOSINUSITIS
- RHINOPHONIA APERTA & DYSPHAGIA – AFFILIATED COMPLICATIONS OF SOFT PALATE CARCINOMA TREATMENT (A CASE STUDY)