The vocal tract from the glottis to the lips is considered to be a res
onator and the voice is changeable depending upon the shape of the voc
al tract. In this report, we examined the change in pharyngeal size an
d acoustic feature of voice after tonsillectomy. Methods: Subjects wer
e 20 patients. The distance between both anterior pillars (glossopalat
ine arches), and between both posterior pillars (pharyngopalatine arch
es) was measured weekly. For acoustic measurements. the five Japanese
vowels and Japanese conversational sentences were recorded and analyze
d. Results: The distance between both anterior pillars became wider 2
weeks postoperatively, and tended to become narrower thereafter. The d
istance between both posterior pillars became wider even after 4 weeks
postoperatively. No consistent changes in F0, F1 and F2 were found af
ter surgery. Although there was a tendency for a decrease in F3, tonsi
llectomy did not appear to change the acoustical features of the Japan
ese vowels remarkably. It was assumed that the subject may adjust the
shape of the vocal tract to produce consistent speech sounds after the
surgery using auditory feedback.