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1.
Cereb Cortex ; 34(5)2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38715409

RESUMEN

Behavioral and brain-related changes in word production have been claimed to predominantly occur after 70 years of age. Most studies investigating age-related changes in adulthood only compared young to older adults, failing to determine whether neural processes underlying word production change at an earlier age than observed in behavior. This study aims to fill this gap by investigating whether changes in neurophysiological processes underlying word production are aligned with behavioral changes. Behavior and the electrophysiological event-related potential patterns of word production were assessed during a picture naming task in 95 participants across five adult lifespan age groups (ranging from 16 to 80 years old). While behavioral performance decreased starting from 70 years of age, significant neurophysiological changes were present at the age of 40 years old, in a time window (between 150 and 220 ms) likely associated with lexical-semantic processes underlying referential word production. These results show that neurophysiological modifications precede the behavioral changes in language production; they can be interpreted in line with the suggestion that the lexical-semantic reorganization in mid-adulthood influences the maintenance of language skills longer than for other cognitive functions.


Asunto(s)
Envejecimiento , Electroencefalografía , Potenciales Evocados , Humanos , Adulto , Anciano , Masculino , Persona de Mediana Edad , Femenino , Adulto Joven , Adolescente , Anciano de 80 o más Años , Envejecimiento/fisiología , Potenciales Evocados/fisiología , Encéfalo/fisiología , Habla/fisiología , Semántica
2.
PLoS One ; 19(5): e0302739, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38728329

RESUMEN

BACKGROUND: Deep brain stimulation (DBS) reliably ameliorates cardinal motor symptoms in Parkinson's disease (PD) and essential tremor (ET). However, the effects of DBS on speech, voice and language have been inconsistent and have not been examined comprehensively in a single study. OBJECTIVE: We conducted a systematic analysis of literature by reviewing studies that examined the effects of DBS on speech, voice and language in PD and ET. METHODS: A total of 675 publications were retrieved from PubMed, Embase, CINHAL, Web of Science, Cochrane Library and Scopus databases. Based on our selection criteria, 90 papers were included in our analysis. The selected publications were categorized into four subcategories: Fluency, Word production, Articulation and phonology and Voice quality. RESULTS: The results suggested a long-term decline in verbal fluency, with more studies reporting deficits in phonemic fluency than semantic fluency following DBS. Additionally, high frequency stimulation, left-sided and bilateral DBS were associated with worse verbal fluency outcomes. Naming improved in the short-term following DBS-ON compared to DBS-OFF, with no long-term differences between the two conditions. Bilateral and low-frequency DBS demonstrated a relative improvement for phonation and articulation. Nonetheless, long-term DBS exacerbated phonation and articulation deficits. The effect of DBS on voice was highly variable, with both improvements and deterioration in different measures of voice. CONCLUSION: This was the first study that aimed to combine the outcome of speech, voice, and language following DBS in a single systematic review. The findings revealed a heterogeneous pattern of results for speech, voice, and language across DBS studies, and provided directions for future studies.


Asunto(s)
Estimulación Encefálica Profunda , Lenguaje , Enfermedad de Parkinson , Habla , Voz , Estimulación Encefálica Profunda/métodos , Humanos , Enfermedad de Parkinson/terapia , Enfermedad de Parkinson/fisiopatología , Habla/fisiología , Voz/fisiología , Temblor Esencial/terapia , Temblor Esencial/fisiopatología
3.
Cogn Res Princ Implic ; 9(1): 29, 2024 05 12.
Artículo en Inglés | MEDLINE | ID: mdl-38735013

RESUMEN

Auditory stimuli that are relevant to a listener have the potential to capture focal attention even when unattended, the listener's own name being a particularly effective stimulus. We report two experiments to test the attention-capturing potential of the listener's own name in normal speech and time-compressed speech. In Experiment 1, 39 participants were tested with a visual word categorization task with uncompressed spoken names as background auditory distractors. Participants' word categorization performance was slower when hearing their own name rather than other names, and in a final test, they were faster at detecting their own name than other names. Experiment 2 used the same task paradigm, but the auditory distractors were time-compressed names. Three compression levels were tested with 25 participants in each condition. Participants' word categorization performance was again slower when hearing their own name than when hearing other names; the slowing was strongest with slight compression and weakest with intense compression. Personally relevant time-compressed speech has the potential to capture attention, but the degree of capture depends on the level of compression. Attention capture by time-compressed speech has practical significance and provides partial evidence for the duplex-mechanism account of auditory distraction.


Asunto(s)
Atención , Nombres , Percepción del Habla , Humanos , Atención/fisiología , Femenino , Masculino , Percepción del Habla/fisiología , Adulto , Adulto Joven , Habla/fisiología , Tiempo de Reacción/fisiología , Estimulación Acústica
4.
Sci Rep ; 14(1): 11491, 2024 05 20.
Artículo en Inglés | MEDLINE | ID: mdl-38769115

RESUMEN

Several attempts for speech brain-computer interfacing (BCI) have been made to decode phonemes, sub-words, words, or sentences using invasive measurements, such as the electrocorticogram (ECoG), during auditory speech perception, overt speech, or imagined (covert) speech. Decoding sentences from covert speech is a challenging task. Sixteen epilepsy patients with intracranially implanted electrodes participated in this study, and ECoGs were recorded during overt speech and covert speech of eight Japanese sentences, each consisting of three tokens. In particular, Transformer neural network model was applied to decode text sentences from covert speech, which was trained using ECoGs obtained during overt speech. We first examined the proposed Transformer model using the same task for training and testing, and then evaluated the model's performance when trained with overt task for decoding covert speech. The Transformer model trained on covert speech achieved an average token error rate (TER) of 46.6% for decoding covert speech, whereas the model trained on overt speech achieved a TER of 46.3% ( p > 0.05 ; d = 0.07 ) . Therefore, the challenge of collecting training data for covert speech can be addressed using overt speech. The performance of covert speech can improve by employing several overt speeches.


Asunto(s)
Interfaces Cerebro-Computador , Electrocorticografía , Habla , Humanos , Femenino , Masculino , Adulto , Habla/fisiología , Percepción del Habla/fisiología , Adulto Joven , Estudios de Factibilidad , Epilepsia/fisiopatología , Redes Neurales de la Computación , Persona de Mediana Edad , Adolescente
5.
J Acoust Soc Am ; 155(5): 3206-3212, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38738937

RESUMEN

Modern humans and chimpanzees share a common ancestor on the phylogenetic tree, yet chimpanzees do not spontaneously produce speech or speech sounds. The lab exercise presented in this paper was developed for undergraduate students in a course entitled "What's Special About Human Speech?" The exercise is based on acoustic analyses of the words "cup" and "papa" as spoken by Viki, a home-raised, speech-trained chimpanzee, as well as the words spoken by a human. The analyses allow students to relate differences in articulation and vocal abilities between Viki and humans to the known anatomical differences in their vocal systems. Anatomical and articulation differences between humans and Viki include (1) potential tongue movements, (2) presence or absence of laryngeal air sacs, (3) presence or absence of vocal membranes, and (4) exhalation vs inhalation during production.


Asunto(s)
Pan troglodytes , Acústica del Lenguaje , Habla , Humanos , Animales , Pan troglodytes/fisiología , Habla/fisiología , Lengua/fisiología , Lengua/anatomía & histología , Vocalización Animal/fisiología , Especificidad de la Especie , Medición de la Producción del Habla , Laringe/fisiología , Laringe/anatomía & histología , Fonética
6.
Proc Natl Acad Sci U S A ; 121(22): e2316149121, 2024 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-38768342

RESUMEN

Speech impediments are a prominent yet understudied symptom of Parkinson's disease (PD). While the subthalamic nucleus (STN) is an established clinical target for treating motor symptoms, these interventions can lead to further worsening of speech. The interplay between dopaminergic medication, STN circuitry, and their downstream effects on speech in PD is not yet fully understood. Here, we investigate the effect of dopaminergic medication on STN circuitry and probe its association with speech and cognitive functions in PD patients. We found that changes in intrinsic functional connectivity of the STN were associated with alterations in speech functions in PD. Interestingly, this relationship was characterized by altered functional connectivity of the dorsolateral and ventromedial subdivisions of the STN with the language network. Crucially, medication-induced changes in functional connectivity between the STN's dorsolateral subdivision and key regions in the language network, including the left inferior frontal cortex and the left superior temporal gyrus, correlated with alterations on a standardized neuropsychological test requiring oral responses. This relation was not observed in the written version of the same test. Furthermore, changes in functional connectivity between STN and language regions predicted the medication's downstream effects on speech-related cognitive performance. These findings reveal a previously unidentified brain mechanism through which dopaminergic medication influences speech function in PD. Our study sheds light into the subcortical-cortical circuit mechanisms underlying impaired speech control in PD. The insights gained here could inform treatment strategies aimed at mitigating speech deficits in PD and enhancing the quality of life for affected individuals.


Asunto(s)
Lenguaje , Enfermedad de Parkinson , Habla , Núcleo Subtalámico , Humanos , Enfermedad de Parkinson/fisiopatología , Enfermedad de Parkinson/tratamiento farmacológico , Núcleo Subtalámico/fisiopatología , Núcleo Subtalámico/efectos de los fármacos , Masculino , Habla/fisiología , Habla/efectos de los fármacos , Femenino , Persona de Mediana Edad , Anciano , Imagen por Resonancia Magnética , Dopamina/metabolismo , Red Nerviosa/efectos de los fármacos , Red Nerviosa/fisiopatología , Cognición/efectos de los fármacos , Dopaminérgicos/farmacología , Dopaminérgicos/uso terapéutico
7.
Cereb Cortex ; 34(5)2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38741267

RESUMEN

The role of the left temporoparietal cortex in speech production has been extensively studied during native language processing, proving crucial in controlled lexico-semantic retrieval under varying cognitive demands. Yet, its role in bilinguals, fluent in both native and second languages, remains poorly understood. Here, we employed continuous theta burst stimulation to disrupt neural activity in the left posterior middle-temporal gyrus (pMTG) and angular gyrus (AG) while Italian-Friulian bilinguals performed a cued picture-naming task. The task involved between-language (naming objects in Italian or Friulian) and within-language blocks (naming objects ["knife"] or associated actions ["cut"] in a single language) in which participants could either maintain (non-switch) or change (switch) instructions based on cues. During within-language blocks, cTBS over the pMTG entailed faster naming for high-demanding switch trials, while cTBS to the AG elicited slower latencies in low-demanding non-switch trials. No cTBS effects were observed in the between-language block. Our findings suggest a causal involvement of the left pMTG and AG in lexico-semantic processing across languages, with distinct contributions to controlled vs. "automatic" retrieval, respectively. However, they do not support the existence of shared control mechanisms within and between language(s) production. Altogether, these results inform neurobiological models of semantic control in bilinguals.


Asunto(s)
Multilingüismo , Lóbulo Parietal , Habla , Lóbulo Temporal , Estimulación Magnética Transcraneal , Humanos , Masculino , Lóbulo Temporal/fisiología , Femenino , Adulto Joven , Adulto , Lóbulo Parietal/fisiología , Habla/fisiología , Señales (Psicología)
8.
Sci Adv ; 10(20): eadm9797, 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38748798

RESUMEN

Both music and language are found in all known human societies, yet no studies have compared similarities and differences between song, speech, and instrumental music on a global scale. In this Registered Report, we analyzed two global datasets: (i) 300 annotated audio recordings representing matched sets of traditional songs, recited lyrics, conversational speech, and instrumental melodies from our 75 coauthors speaking 55 languages; and (ii) 418 previously published adult-directed song and speech recordings from 209 individuals speaking 16 languages. Of our six preregistered predictions, five were strongly supported: Relative to speech, songs use (i) higher pitch, (ii) slower temporal rate, and (iii) more stable pitches, while both songs and speech used similar (iv) pitch interval size and (v) timbral brightness. Exploratory analyses suggest that features vary along a "musi-linguistic" continuum when including instrumental melodies and recited lyrics. Our study provides strong empirical evidence of cross-cultural regularities in music and speech.


Asunto(s)
Lenguaje , Música , Habla , Humanos , Habla/fisiología , Masculino , Percepción de la Altura Tonal/fisiología , Femenino , Adulto , Publicación de Preinscripción
9.
Autism Res ; 17(5): 989-1000, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38690644

RESUMEN

Prior work examined how minimally verbal (MV) children with autism used their gestural communication during social interactions. However, interactions are exchanges between social partners. Examining parent-child social interactions is critically important given the influence of parent responsivity on children's communicative development. Specifically, parent responses that are semantically contingent to the child's communication plays an important role in further shaping children's language learning. This study examines whether MV autistic children's (N = 47; 48-95 months; 10 females) modality and form of communication are associated with parent responsivity during an in-home parent-child interaction (PCI). The PCI was collected using natural language sampling methods and coded for child modality and form of communication and parent responses. Findings from Kruskal-Wallis H tests revealed that there was no significant difference in parent semantically contingent responses based on child communication modality (spoken language, gesture, gesture-speech combinations, and AAC) and form of communication (precise vs. imprecise). Findings highlight the importance of examining multiple modalities and forms of communication in MV children with autism to obtain a more comprehensive understanding of their communication abilities; and underscore the inclusion of interactionist models of communication to examine children's input on parent responses in further shaping language learning experiences.


Asunto(s)
Trastorno Autístico , Comunicación , Relaciones Padres-Hijo , Humanos , Femenino , Masculino , Niño , Preescolar , Trastorno Autístico/psicología , Gestos , Padres , Desarrollo del Lenguaje , Habla
10.
J Hist Ideas ; 85(2): 209-235, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38708647

RESUMEN

In 1644 George Wither stood outside or without the doors of the House of Commons and delivered a speech to Parliament and the nation simultaneously. Not only did this "print oration" function as a prototype for Areopagitica, A Speech of John Milton [. . .] to the Parliament of England, but it inspired a genre of print pamphlets that would extend well into the eighteenth century. This article identifies and argues for the popular consequences of the genre, detailing its contribution to England's developing structure of political communication and representation.


Asunto(s)
Política , Historia del Siglo XVIII , Inglaterra , Historia del Siglo XVII , Habla
11.
Nat Commun ; 15(1): 3692, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38693186

RESUMEN

Over the last decades, cognitive neuroscience has identified a distributed set of brain regions that are critical for attention. Strong anatomical overlap with brain regions critical for oculomotor processes suggests a joint network for attention and eye movements. However, the role of this shared network in complex, naturalistic environments remains understudied. Here, we investigated eye movements in relation to (un)attended sentences of natural speech. Combining simultaneously recorded eye tracking and magnetoencephalographic data with temporal response functions, we show that gaze tracks attended speech, a phenomenon we termed ocular speech tracking. Ocular speech tracking even differentiates a target from a distractor in a multi-speaker context and is further related to intelligibility. Moreover, we provide evidence for its contribution to neural differences in speech processing, emphasizing the necessity to consider oculomotor activity in future research and in the interpretation of neural differences in auditory cognition.


Asunto(s)
Atención , Movimientos Oculares , Magnetoencefalografía , Percepción del Habla , Habla , Humanos , Atención/fisiología , Movimientos Oculares/fisiología , Masculino , Femenino , Adulto , Adulto Joven , Percepción del Habla/fisiología , Habla/fisiología , Estimulación Acústica , Encéfalo/fisiología , Tecnología de Seguimiento Ocular
12.
Ugeskr Laeger ; 186(18)2024 Apr 29.
Artículo en Danés | MEDLINE | ID: mdl-38704717

RESUMEN

Ankyloglossia or tongue-tie is a condition where the anatomical variation of the sublingual frenulum can limit normal tongue function. In Denmark, as in other countries, an increase in the number of children treated for ankyloglossia has been described over the past years. Whether or not ankyloglossia and its release affect the speech has also been increasingly discussed on Danish television and social media. In this review, the possible connection between ankyloglossia, its surgical treatment, and speech development in children is discussed.


Asunto(s)
Anquiloglosia , Humanos , Anquiloglosia/cirugía , Niño , Desarrollo del Lenguaje , Lengua/cirugía , Frenillo Lingual/cirugía , Frenillo Lingual/anomalías , Habla , Lactante
13.
Curr Biol ; 34(9): R348-R351, 2024 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-38714162

RESUMEN

A recent study has used scalp-recorded electroencephalography to obtain evidence of semantic processing of human speech and objects by domesticated dogs. The results suggest that dogs do comprehend the meaning of familiar spoken words, in that a word can evoke the mental representation of the object to which it refers.


Asunto(s)
Cognición , Semántica , Animales , Perros/psicología , Cognición/fisiología , Humanos , Electroencefalografía , Habla/fisiología , Percepción del Habla/fisiología , Comprensión/fisiología
14.
J Psycholinguist Res ; 53(3): 45, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38739304

RESUMEN

English is widely regarded as a global language, and it has become increasingly important for global communication. As a result, the demand for English language education has been on the rise. In China, a significant number of individuals are engaged in learning the English language. However, many English learners in China encounter challenges when it comes to developing their speaking skills. This study aims to investigate the factors influencing the speaking skills of English learners in China. Employing a mixed-methods approach, data were collected through a questionnaire from 455 college students from three different courses (arts, science & business, and commerce) in China. The study findings identified several factors impacting the speaking skills of English learners in China, including limited opportunities for speaking practice, fear of making mistakes, limited exposure to English-speaking environments, inadequate teacher training, and the influence of the Chinese language on English pronunciation. Additionally, the study highlighted that learners who have greater exposure to English-speaking environments and more opportunities for speaking practice tend to demonstrate better speaking skills. The novelty of this study lies in its valuable insights into the factors influencing the speaking skills of English learners in China. Based on the findings, it is recommended that English teachers receive enhanced training to effectively teach speaking skills, and learners should be provided with increased opportunities for speaking practice, such as participating in group discussions or engaging in speaking activities.


Asunto(s)
Aprendizaje , Humanos , China , Femenino , Masculino , Aprendizaje/fisiología , Adulto Joven , Multilingüismo , Habla , Lenguaje , Estudiantes/psicología , Adulto , Encuestas y Cuestionarios , Fonética , Pueblos del Este de Asia
15.
Neuroimage ; 293: 120629, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38697588

RESUMEN

Covert speech (CS) refers to speaking internally to oneself without producing any sound or movement. CS is involved in multiple cognitive functions and disorders. Reconstructing CS content by brain-computer interface (BCI) is also an emerging technique. However, it is still controversial whether CS is a truncated neural process of overt speech (OS) or involves independent patterns. Here, we performed a word-speaking experiment with simultaneous EEG-fMRI. It involved 32 participants, who generated words both overtly and covertly. By integrating spatial constraints from fMRI into EEG source localization, we precisely estimated the spatiotemporal dynamics of neural activity. During CS, EEG source activity was localized in three regions: the left precentral gyrus, the left supplementary motor area, and the left putamen. Although OS involved more brain regions with stronger activations, CS was characterized by an earlier event-locked activation in the left putamen (peak at 262 ms versus 1170 ms). The left putamen was also identified as the only hub node within the functional connectivity (FC) networks of both OS and CS, while showing weaker FC strength towards speech-related regions in the dominant hemisphere during CS. Path analysis revealed significant multivariate associations, indicating an indirect association between the earlier activation in the left putamen and CS, which was mediated by reduced FC towards speech-related regions. These findings revealed the specific spatiotemporal dynamics of CS, offering insights into CS mechanisms that are potentially relevant for future treatment of self-regulation deficits, speech disorders, and development of BCI speech applications.


Asunto(s)
Electroencefalografía , Imagen por Resonancia Magnética , Habla , Humanos , Masculino , Imagen por Resonancia Magnética/métodos , Femenino , Habla/fisiología , Adulto , Electroencefalografía/métodos , Adulto Joven , Encéfalo/fisiología , Encéfalo/diagnóstico por imagen , Mapeo Encefálico/métodos
16.
Sci Adv ; 10(20): eadp9620, 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38748801

RESUMEN

Equitable collaboration between culturally diverse scientists reveals that acoustic fingerprints of human speech and song share parallel relationships across the globe.


Asunto(s)
Diversidad Cultural , Habla , Humanos , Música
17.
JASA Express Lett ; 4(4)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38573045

RESUMEN

The present study examined English vowel recognition in multi-talker babbles (MTBs) in 20 normal-hearing, native-English-speaking adult listeners. Twelve vowels, embedded in the h-V-d structure, were presented in MTBs consisting of 1, 2, 4, 6, 8, 10, and 12 talkers (numbers of talkers [N]) and a speech-shaped noise at signal-to-noise ratios of -12, -6, and 0 dB. Results showed that vowel recognition performance was a non-monotonic function of N when signal-to-noise ratios were less favorable. The masking effects of MTBs on vowel recognition were most similar to consonant recognition but less so to word and sentence recognition reported in previous studies.


Asunto(s)
Lenguaje , Habla , Adulto , Humanos , Reconocimiento en Psicología , Relación Señal-Ruido
18.
Cereb Cortex ; 34(4)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38566511

RESUMEN

This study investigates neural processes in infant speech processing, with a focus on left frontal brain regions and hemispheric lateralization in Mandarin-speaking infants' acquisition of native tonal categories. We tested 2- to 6-month-old Mandarin learners to explore age-related improvements in tone discrimination, the role of inferior frontal regions in abstract speech category representation, and left hemisphere lateralization during tone processing. Using a block design, we presented four Mandarin tones via [ta] and measured oxygenated hemoglobin concentration with functional near-infrared spectroscopy. Results showed age-related improvements in tone discrimination, greater involvement of frontal regions in older infants indicating abstract tonal representation development and increased bilateral activation mirroring native adult Mandarin speakers. These findings contribute to our broader understanding of the relationship between native speech acquisition and infant brain development during the critical period of early language learning.


Asunto(s)
Percepción del Habla , Habla , Adulto , Lactante , Humanos , Anciano , Percepción del Habla/fisiología , Percepción de la Altura Tonal/fisiología , Desarrollo del Lenguaje , Encéfalo/diagnóstico por imagen , Encéfalo/fisiología
19.
JASA Express Lett ; 4(4)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38568027

RESUMEN

This study investigates speech production under various room acoustic conditions in virtual environments, by comparing vocal behavior and the subjective experience of speaking in four real rooms and their audio-visual virtual replicas. Sex differences were explored. Males and females (N = 13) adjusted their voice levels similarly to room acoustic changes in the real rooms, but only males did so in the virtual rooms. Females, however, rated the visual virtual environment as more realistic compared to males. This suggests a discrepancy between sexes regarding the experience of realism in a virtual environment and changes in objective behavioral measures such as voice level.


Asunto(s)
Caracteres Sexuales , Habla , Femenino , Masculino , Humanos , Acústica
20.
Ann Plast Surg ; 92(4S Suppl 2): S101-S104, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38556656

RESUMEN

BACKGROUND: Pharyngeal flap (PF) surgery is effective at improving velopharyngeal sufficiency, but historical literature shows a concerning prevalence rate of obstructive sleep apnea (OSA), reported as high as 20%. Our institution has developed a protocol to minimize risk of postoperative obstructive complications and increase safety of PF surgery. We hypothesize that (1) preoperative staged removal of significant adenotonsillar tissue along with (2) multiview videofluoroscopy to guide patient-specific surgical approach via appropriately sized PFs can result in excellent speech outcomes while limiting occurrence of OSA. METHODS: This was a retrospective chart review of all patients with velopharyngeal insufficiency (VPI) (aged 2-20 years) seen at the University of Rochester from 2015 to 2022 undergoing PF surgery to correct VPI. Nasopharyngoscopy was used for surgical planning and airway evaluation. Patients with tonsillar and adenoid hypertrophy underwent staged adenotonsillectomy at least 2 months before PF. Multiview videofluoroscopy was used to identify anatomic causes of VPI and to determine PF width. Patients underwent polysomnography and speech evaluation before and at least 6 months after PF surgery. RESULTS: Forty-one children aged 8.5 ± 4.1 years (range, 4 to 18 years) who underwent posterior PF surgery for VPI were identified. This included 10 patients with 22q11.2 deletion and 4 patients with Pierre Robin sequence. Thirty-nine patients had both pre- and postoperative speech data and underwent both a pre- and postoperative sleep study. Polysomnography showed no significant difference in obstructive apnea-hypopnea index after posterior PF surgery (obstructive apnea-hypopnea index preop, 1.3 ± 1.2 events per hour; postop, 1.7 ± 2.1 events per hour; P = 0.111). Significant improvements in speech outcome were seen in patients who underwent PF (modified Pittsburgh score preop, 11.52 ± 1.37; postop, 1.09 ± 2.35; P < 0.05). CONCLUSIONS: Use of preoperative staged adenotonsillectomy as well as patient-specific PF dimensions results in effective resolution of VPI and a low risk of OSA.


Asunto(s)
Apnea Obstructiva del Sueño , Insuficiencia Velofaríngea , Niño , Humanos , Habla , Estudios Retrospectivos , Vías Clínicas , Faringe/cirugía , Insuficiencia Velofaríngea/cirugía , Insuficiencia Velofaríngea/complicaciones , Apnea Obstructiva del Sueño/etiología , Complicaciones Posoperatorias/epidemiología , Resultado del Tratamiento
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