Van Lierde K., Galiwango G., Hodges A., Bettens K., Luyten A., Vermeersch H.
Department of Plastic Surgery, CoRSU Rehabilitation Hospital, Kampala, Uganda; Department of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, 2P1 Dienst Logopedie, De Pintelaan 185, BE-9000 Gent, Belgium
Van Lierde, K., Department of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, 2P1 Dienst Logopedie, De Pintelaan 185, BE-9000 Gent, Belgium; Galiwango, G., Department of Plastic Surgery, CoRSU Rehabilitation Hospital, Kampala, Uganda; Hodges, A., Department of Plastic Surgery, CoRSU Rehabilitation Hospital, Kampala, Uganda; Bettens, K., Department of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, 2P1 Dienst Logopedie, De Pintelaan 185, BE-9000 Gent, Belgium; Luyten, A., Department of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, 2P1 Dienst Logopedie, De Pintelaan 185, BE-9000 Gent, Belgium; Vermeersch, H., Department of ENT, Head and Neck Surgery and Logopaedics, University Hospital Gent, 2P1 Dienst Logopedie, De Pintelaan 185, BE-9000 Gent, Belgium
Objective: The purpose of this study was to determine the impact of partial glossectomy (using the keyhole technique) on speech intelligibility, articulation, resonance and oromyofunctional behavior. Patients and Methods: A partial glossectomy was performed in 4 children with Beckwith-Wiedemann syndrome between the ages of 0.5 and 3.1 years. An ENT assessment, a phonetic inventory, a phonemic and phonological analysis and a consensus perceptual evaluation of speech intelligibility, resonance and oromyofunctional behavior were performed. Results: It was not possible in this study to separate the effects of the surgery from the typical developmental progress of speech sound mastery. Improved speech intelligibility, a more complete phonetic inventory, an increase in phonological skills, normal resonance and increased motor-oriented oral behavior were found in the postsurgical condition. The presence of phonetic distortions, lip incompetence and interdental tongue position were still present in the postsurgical condition. Conclusion: Speech therapy should be focused on correct phonetic placement and a motor-oriented approach to increase lip competence, and on functional tongue exercises and tongue lifting during the production of alveolars. Detailed analyses in a larger number of subjects with and without Beckwith-Wiedemann syndrome may help further illustrate the long-term impact of partial glossectomy. © 2011 S. Karger AG, Basel.
article; Beckwith Wiedemann syndrome; clinical trial; dysphagia; glossectomy; hepatoblastoma; human; infant; kidney tumor; language development; lip; liver tumor; macroglossia; motor dysfunction; multimodality cancer therapy; muscle hypotonia; nephroblastoma; pathophysiology; phonetics; preschool child; speech disorder; speech intelligibility; speech therapy; tongue; Articulation Disorders; Beckwith-Wiedemann Syndrome; Child, Preschool; Combined Modality Therapy; Deglutition Disorders; Glossectomy; Hepatoblastoma; Humans; Infant; Kidney Neoplasms; Language Development; Lip; Liver Neoplasms; Macroglossia; Movement Disorders; Muscle Hypotonia; Phonetics; Speech Intelligibility; Speech Therapy; Tongue; Wilms Tumor