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Objectives: The purpose was to determine the changes in intelligibility and articulation after partial glossectomy in a child with Beckwith-Wiedemann syndrome. Methods: For the assessment of articulation, a speech sample was gathered by means of a picture naming test. The analyses included a description of the child’s sound production regardless of their relation to the adult target, as well as analyses comparing the patient’s pronunciations with the adult form. For the assessment of intelligibility the sample was independently rated by 2 experienced speech pathologists using a nominal scale with four categories. Results and Conclusions: Partial glossectomy resulted in a dramatic improvement of speech. Before surgery the speech was definitely not age-appropriate. The child was capable of producing only 23% of the Dutch consonants. This is far less than expected at that age. After surgery, consonant inventory was almost complete and as such was even more than age-appropriate. The partial glossectomy had obviously a positive impact on both place of articulation and manner of articulation. The analyses revealed a tendency towards vowel speech before surgery along with glottal realizations. After surgery the vowel speech and the compensatory articulation patterns had disappeared. Several factors that contributed to the improvement are discussed.
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- Vogel JE, Mulliken JB, Kaban LB: Macroglossia: A review of the condition and a new classification. Plast Reconstr Surg 1986;78:715–723.
- Van Borsel J, Van Snick K, Leroy J: Macroglossia and speech in Beckwith-Wiedemann syndrome: A sample survey study. Int J Lang Commun Disord 1999;34:209–221.
- Arons M, Solitaire GB, Grunt JA: The macroglossia of Beckwith’s syndrome. Plast Reconstr Surg 1970;45:341–345.
- Dios PD, Posse JL, Sanroman JF, Garcia EV: Treatment of macroglossia in a child with Beckwith-Wiedemann syndrome. J Oral Maxillofac Surg 2000;58:1058–1061.
- Klaiman P, Arndt E: Facial reconstruction in Down syndrome: Perceptions of the results by parents and normal adolescents. Cleft Palate J 1989;26:186–190.
- Klaiman P, Witzel MA, Margar-Bacal F, Munro IR: Changes in aesthetic appearance and intelligibility of speech after partial glossectomy in patients with Down syndrome. Plast Reconstr Surg 1988;82:403–408.
- Lubinsky M, Herrmann J, Kosseff AL, Opitz JM: Autosomal-dominant sex-dependent transmission of the Wiedemann-Beckwith syndrome (letter). Lancet 1974;i:932.
- Margar-Bacal F, Witzel MA, Munro IR: Speech intelligibility after partial glossectomy in children with Down’s syndrome. Plast Reconstr Surg 1987;79:44–49.
- McManamny DS, Barnett JS: Macroglossia as a presentation of the Beckwith-Wiedemann syndrome. Plast Reconstr Surg 1985;75:170–176.
- Mixter RC, Ewanowski SJ, Carson LV: Central tongue reduction for macroglossia. Plast Reconstr Surg 1993;85:1159–1162.
- Parsons CL, Iacono TA, Rozner L: Effect of tongue reduction on articulation in children with Down syndrome. Am J Ment Defic 1987;91:328–332.
- Siddiqui A, Pensler JM: The efficacy of tongue resection in treatment of symptomatic macroglossia in the child. Ann Plast Surg 1990;25:14–17.
- Smith DF, Mihm FG, Flynn M: Chronic alveolar hypoventilation secondary to macroglossia in Beckwith-Wiedemann syndrome. Pediatrics 1982;70:695–697.
- Witzel MA: Communicative impairment associated with clefting; in Sprintzen RJ, Bardach J (eds): Cleft Palate Speech Management: A Multidisciplinary Approach. St Louis, Mosby, 1995.
- Van der Meulen BF, Smrkovsky M: McCarthy ontwikkelingsschalen. Liss, Swets & Zeitlinger, 1985.
- Schaerlaekens A, Zink I, Van Ommeslaeghe K: Reynell taalontwikkelingsschalen. Nijmegen, Berkhout, 1993.
- International Phonetic Association: The Principles of the International Phonetic Association. London, IPA, 1949.
- Pena-Brooks A, Hegde MN: Assessment and Treatment of Articulation and Phonological Disorders in Children. Austin, Pro-Ed, 2000.
- Prather E, Hedrick D, Kern C: Articulation development in children aged two to four years. J Speech Hear Res 1975;40:55–63.
- Fudala JB, Reynolds WM: Arizona Articulation Proficiency Scale, ed 2. Los Angeles, Western Psychological Press, 1986.
- Luchsinger R, Arnold GE: Die Sprache und ihre Störungen. Wien, Springer, 1970.
- Bzoch KR: Communication Disorders Related to Cleft Lip and Palate. Boston, Little Brown, 1979.
- Fletcher S: Speech production following partial glossectomy. J Speech Hear Disord 1988;53:232–238.
- Morley ME: Cleft Palate and Speech. Baltimore, Williams & Wilkins, 1967.
- Shprintzen RJ, Bardach J: Cleft palate speech management, a multidisciplinary approach. St Louis, Mosby, 1995.
- Trost JE: Articulatory additions to the classical description of the speech of persons with cleft palate. Cleft Palate J 1981;18:193–203.
- Kveim M, Fisher JC, Jones KI, et al: Early tongue resection for Beckwith-Wiedemann macroglossia. Ann Plast Surg 1985;14:142–144.
- Menard RM, Delarie J, Schendel SA: Treatment of the craniofacial complications of Beckwith-Wiedemann syndrome. Plast Reconstr Surg 1995;96:27–31.