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    Speech-language evaluation and rehabilitation treatment in Floating-Harbor Syndrome: a case study

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    Floating-Harbor syndrome is a rare congenital disorder characterized by specific facial features, short stature associated with significantly delayed bone age and language impairment. Although language delay is a cardinal manifestation of this syndrome, few reports describe the specific language difficulties of these patients, particularly the development of language abilities in the long run. This paper reports on an Italian boy with Floating-Harbor syndrome and discusses his language evaluation at presentation (age 48 months) and development and progress of his language abilities after 4 years of rehabilitation treatment. At presentation he exhibited borderline mental retardation, with verbal abilities lower than performance abilities. He showed significant impairment of both expressive and receptive language, and also exhibited phonologic and articulations problems that lowered speech intelligibility. Neuropsychological assessment revealed cognitive problems. After speech-language rehabilitation treatment, he achieved significant improvement in language function. Learning outcomes: The reader will learn about (1) the distinctive clinical characteristics and (2) the speech-language abilities and their development after speech-language therapy in Floating-Harbor syndrome

    La terapia logopedica nelle paralisi delle corde vocali secondarie a chirurgia tiroidea.

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    The purpose of this study was to evaluate the efficiency at long-term of logopedic treatment in 92 patients (60 females and 32 males, 25-67 years old) with unilateral laryngeal nerves paralysis secondary to thyroidectomy. The study was conducted in a period of 4 years (from 2000 to 2004). 84 patients started logopedic treatment 2 months after the vocal fold paralysis and the other 8 after a period from 4 months to 2 years. The patients were submitted to logopedic treatment for 3 month (3 sessions for week); 12 patients continued with therapy for others 2 months. At the end of therapy 81 patient (88%) improved that they normalized their phonatory function; in fact these patients showed an hyper-adduction of normal vocal fold (with compensation of air leak) and a good tone of paralysed vocal fold with the aim of preventing its atrophy (through the action of cricothyroid muscle)
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