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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Pronouncing Certain Words Post Tonsillectomy?

hello, my son was born with soft cleft palate and was repaied when he was 16 months and had to have numerous eustatian tubes due to middle ear fluid and eustasian tube dysfunction, he is almost 8 and has very bad sleep aponea , therfore had to have partial adenoid removal and tonsilectomy. its 2 weeks post op, his speech sounds little more nasly and high pitch and water is coming of his nose when he drinks water ever now and again. The surgeon said he would only take out a little bit of the adenoid so his speech won t be affected due to the soft cleft palate repair, however it was so enlarged and he took out about 30% of his adnoid. he is no longer snooring however, i m so worried about his speach that sounds little nasly and hard for him to pronouse certain words clearly ( he spoke perfectly prior to this) and also worried about the fluid coming out of his nose. he has never had tonsilities and did not have large tonsils but the surgeon and sleep dr. decided it may help with his aponea? please help? will his voice ever return to normal?
Mon, 3 Jun 2019
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Pathologist and Microbiologist 's  Response
Hello,

Since your son has had surgery for multiple problems - cleft palate, adenoid removal, and tonsillectomy.

These multiple surgeries can lead to an increased gap between the larynx and nasal cavity and hence abnormal voice with an increased nasal twang.

I suggest you to continue to follow up with your surgeon and wait for complete healing to take place.

Corrective measures to reduce nasal twang can be done to improve the quality of voice.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shailja Puri, Pathologist and Microbiologist
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What Causes Difficulty In Pronouncing Certain Words Post Tonsillectomy?

Hello, Since your son has had surgery for multiple problems - cleft palate, adenoid removal, and tonsillectomy. These multiple surgeries can lead to an increased gap between the larynx and nasal cavity and hence abnormal voice with an increased nasal twang. I suggest you to continue to follow up with your surgeon and wait for complete healing to take place. Corrective measures to reduce nasal twang can be done to improve the quality of voice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shailja Puri, Pathologist and Microbiologist