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July 1959

The Otolaryngologist and the Symptom of Hyper-Rhinolalia

Author Affiliations

New York
From Speech Clinic, of the Ear, Nose, and Throat Department, of the Harlem Eye and Ear Hospital.

AMA Arch Otolaryngol. 1959;70(1):32-41. doi:10.1001/archotol.1959.00730040036006

In his private as well as in his clinical practice the otolaryngologist will with relative frequency have to decide what kind of therapy to prescribe as remedy for a disorder which in layman's language is called "a nasal twang." This term, far from being exact, usually indicates that a patient's voice is affected by some sort of nasal distortion unpleasant to the perceiving ear.1 In such cases the ear, nose, and throat specialist will state that his patient is afflicted by rhinolalia, and it will be his diagnostic task to determine whether the rhinolalia is of the hyper-, hypo-, or mixed type.*

For a phonetically untrained ear it may not always be very easy to make the correct distinction among the three types of rhinolalia, and, since therapy is completely different for each one of them, we advise the use of a simple tool, whose application will ascertain a

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