Case 1 Initial Evaluation. The patient has a thick, hypernasal voice. Hard consonant sounds are particularly difficult and connected speech is preferentially affected. Sustained vowel phonation is unaffected.
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Case 1 Post-treatment Follow-up. Three months after treatment with trihexyphenidyl 4 mg three times a day, the patient displayed reduced hypernasality and consonant-specific guttural dysarthria.
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Case 2 Initial Evaluation. The patient has a simultaneously breathy and hypernasal quality to speech. Changing voice pitch or utilizing a sensory trick improves speech quality transiently.
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Case 2 Post-treatment Follow-up. Two months after treatment with trihexyphenidyl 2 mg three times a day, the patient had improved tone production, though the hypernasal quality of speech remained.