Case Report

Palatopharyngeal function rehabilitation after partial maxillectomy with an obturator combined with speech aid: a clinical report

Abstract

A palatal defect may result from surgical resection, and its consequences could include difficulty in speech and nasal regurgitation of food and liquids. An obturator combined to speech aid prosthesis can improve nasal emission during speech,  and  assist  in  preventing  nasal  regurgitation  of  food.  This  article presents a clinical report of the reconstruction of palatopharyngeal function by prosthetic obturator and speech aid.

Spiro RH, Strong EW, Shah JP. Maxillectomy and its classification. Head & Neck.1997;19(4):309-14.

Bohle G 3rd, Rieger J, Huryn J, Verbel D, Hwang F, Zlotolow I. Efficacy of speech aid prostheses for acquired defects of the soft palate and velopharyngeal inadequacy-clinical assessments and cephalometric analysis: a Memorial Sloan-Kettering Study: Head & Neck 2005;27(3):195-207.

The Glossary of Prosthodontic Terms, 7thedition.J Prost Dent. 1999;81:39–110.

Beumer J III, Curtis TA, Firtell DN.Maxillofacial Rehabilitation. Prosthodontic and Surgical Considerations. St. Louis: Mosby Co,1979.

Shifman A, Finkelstein Y, Nachmani A, Ophir D.Speech-aid prostheses for neurogenic velopharyngeal incompetence. The Journal of Prosthetic Dentistry. 2000;83(1):99-106.

Academy of Prosthodontics. Glossary of prosthodontic terms. J Prosthet Dent. 1999;81:41.

Abreu A, Levy D, Rodriguez E, Rivera I. Oral rehabilitation of a patient with complete unilateral cleft lip and palate using an implant- retained speech-aid prosthesis: Clinical report. Cleft Palate Craniofac J. 2007;44:673-677.

Jacob RF, King G. Indirect retainers in soft palate obturator design. The Journal of Prosthetic Dentistry. 1990;63(3):311-5.

Tuna SH, Pekkan G, Gumus HO, Aktas A.Prosthetic rehabilitation of velopharyngeal insufficiency: pharyngeal obturator prostheses with different retention mechanisms. European Journal of Dentistry. 2010;4(1):81-7.

Psillakis JJ, Wright RF, Toothaker RW. A simple, expeditious method for placement of thermoplastic impression material for speech aid prostheses. The Journal of Prosthetic Dentistry.1999;81(2):247-8.

Khan Z. Soft palate obturator prosthesis made with visible light-cured resin. J Prosthet Dent.1989;62:671–3.

Chambers MS, Lemon JC, Martin JW. Obturator of the partial soft palate defect. J Prosthet Dent.2004;91:75–9.

Chau-Hsiang W, I-Yeuh H, Je-Kang D, Jen-Hao C, Huey-Er L, Ka-Wo L, et al. Reconstruction of the soft palate in oral cancer to repair an operative defect with speech aid prosthesis: a case report. Kaohsiung J Med Sci October. 2007;23(10).

Ortegon SM, Martin JW, Lewin JS. A hollow delayed surgical obturator for a bilateral subtotal maxillectomy patient: a clinical report. The Journal of Prosthetic Dentistry 2008;99(1):14-8.

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IssueVol 2, No 1-2 (Winter/Spring 2015) QRcode
SectionCase Report(s)
Keywords
Palatopharyngeal function Speech Aid Obturator Rotational path

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Atri F, Mir-Mohammad-Rezaei S, GeramiPanah F, Bahrami M. Palatopharyngeal function rehabilitation after partial maxillectomy with an obturator combined with speech aid: a clinical report. J Craniomaxillofac Res. 2015;2(1-2):103-108.