Speech and Swallow Function After Tonsil/Base of Tongue Resection With Primary Closure Speech and swallowing function was examined in 11 patients who underwent surgical resection of greater than 1 cm of tongue base, tonsil, and faucial arch with mandible resected on the side of the tumor and reconstruction by primary closure. Preoperatively and 1 and 3 months post-healing, high fidelity audio recordings ... Research Article
Research Article  |   October 01, 1993
Speech and Swallow Function After Tonsil/Base of Tongue Resection With Primary Closure
 
Author Affiliations & Notes
  • Jeri A. Logemann
    Northwestern University Evanston, IL
  • Barbara Roa Pauloski
    Northwestern University Evanston, IL
  • Alfred W. Rademaker
    Northwestern University Chicago, IL
  • Fred M. S. McConnel
    Emory University Atlanta, GA
  • Mary Anne Heiser
    Roswell Park Memorial Institute Buffalo, NY
  • Salvatore Cardinale
    Roswell Park Memorial Institute Buffalo, NY
  • Donald Shedd
    Roswell Park Memorial Institute Buffalo, NY
  • David Stein
    Eye and Ear Institute of Pittsburgh Pittsburgh, PA
  • Quinter Beery
    Eye and Ear Institute of Pittsburgh Pittsburgh, PA
  • Jonas Johnson
    Eye and Ear Institute of Pittsburgh Pittsburgh, PA
  • Theresa Baker
    Illinois Cancer Center Chicago, IL
  • Contact author: Jeri A. Logemann, PhD, Northwestern University, Department of Communication Sciences and Disorders, 2299 Campus Drive, Evanston, IL 60208-3540.
Article Information
Swallowing, Dysphagia & Feeding Disorders / Speech / Research Articles
Research Article   |   October 01, 1993
Speech and Swallow Function After Tonsil/Base of Tongue Resection With Primary Closure
Journal of Speech, Language, and Hearing Research, October 1993, Vol. 36, 918-926. doi:10.1044/jshr.3605.918
History: Received May 24, 1992 , Accepted June 1, 1993
 
Journal of Speech, Language, and Hearing Research, October 1993, Vol. 36, 918-926. doi:10.1044/jshr.3605.918
History: Received May 24, 1992; Accepted June 1, 1993

Speech and swallowing function was examined in 11 patients who underwent surgical resection of greater than 1 cm of tongue base, tonsil, and faucial arch with mandible resected on the side of the tumor and reconstruction by primary closure. Preoperatively and 1 and 3 months post-healing, high fidelity audio recordings were made of a 6- to 7-minute conversational speech sample, the sentence version of The Fisher Logemann Test of Articulation Competence was administered, and videofluoroscopic assessment of oropharyngeal swallow was conducted. All subjects exhibited changes in speech and swallowing function postoperatively, with little improvement during the study. Patients exhibited greatest difficulty on stop and fricative consonants and bolus propulsion. Comparison with patients who received anterior tongue and floor of mouth resections and distal flap reconstruction revealed consistently better speech performance by the tonsil/base of tongue patients, although the same phonemes were affected. Swallow function was equally affected in the two groups. Results are discussed in terms of locus of surgical resection, nature of reconstruction, and need for swallowing therapy.

Acknowledgments
This project was supported by NIH/NCI research grant #P01 CA 4000 7. Portions of these data were presented at the annual convention of the American Speech-Language-Hearing Association, Atlanta, Georgia, 1991. The authors wish to acknowledge the contributions of Cathy Lazarus to this manuscript.
Order a Subscription
Pay Per View
Entire Journal of Speech, Language, and Hearing Research content & archive
24-hour access
This Article
24-hour access