Case 2

This case study involves a 44-year-old man with flaccid dysarthria, right hemiparesis, left facial paresis, left vocal fold paralysis following a car crash. He works as a bartender in a hotel. He was treated surgically with a tracheostomy, feeding gastrostomy, left cricopharyngeal myotomy, hypoglossal nerve anastomosis and left true vocal fold Teflon injection. The patient was referred for speech therapy. The areas of glottic closure, velopharyngeal closure, and tongue strength and mobility were stressed initially in speech therapy.