Multidisciplinary Approach for Esthetic, Functional, and Quality-of-Life Outcome in Soft Palate Cleft Patient

Akın, Hakan; Çoşkun, Mehmet; Akın, Erol; Özdemir, Ali Kemal

doi:10.1597/10-167

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Some authors suggested that the bulb works as a sensorimotor stimulator that helps muscle function, especially when associated with speech therapy [21,22]. This appliance also controls nasal emission during speech and prevents nasal regurgitation of food and fluids during swallowing [23].…”

Section: Introductionmentioning

confidence: 99%

Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series

Vale,

Nunes,

Reis

et al. 2023

Prosthesis

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(1) Background: Cleft lip and palate is the most common congenital malformation of the head and neck. After surgical closure, velopharyngeal dysfunction can arise, which has implications for phonation, sucking, swallowing, middle ear function, and interpersonal well-being. This case series aimed to present an adaptation of the conventional pharyngeal obturator design in order to allow its use with fixed orthodontic appliances. (2) Methods: A new custom-made pharyngeal obturator device was built in order to enable a correct function of the velopharyngeal valve. The fabrication of the plate was made by altering the conventional Hawley retainer, replacing the Adams hooks with 0.9 mm spherical hooks and removing the buccal arch. (3) Results: The new pharyngeal obturator design was used in six cleft patients with fixed orthodontic appliances. The appliance was well tolerated and there was a slight improvement in auditory-perceptive evaluations. (4) Conclusions: The new pharyngeal bulb design proved to have good retention during fixed orthodontic treatment. Moreover, despite the short-term follow-up, it also showed a reduction in the severity of the hypernasality sentences.

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Section: Introductionmentioning

confidence: 99%

Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series

Vale,

Nunes,

Reis

et al. 2023

Prosthesis

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The Soft Palate Friendly Speech Bulb for Velopharyngeal Insufficiency

Kahlon¹,

Kahlon

Gupta³

et al. 2016

JCDR

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Velopharyngeal insufficiency is an anatomic defect of the soft palate making palatopharyngeal sphincter incomplete. It is an important concern to address in patients with bilateral cleft lip and palate. Speech aid prosthesis or speech bulbs are best choice in cases where surgically repaired soft palate is too short to contact pharyngeal walls during function but these prosthesis have been associated with inadequate marginal closure, ulcerations and patient discomfort. Here is a case report of untreated bilateral cleft lip and palate associated with palatal insufficiency treated by means of palate friendly innovative speech bulb. This modified speech bulb is a combination of hard acrylic and soft lining material. The hard self-curing acrylic resin covers only the hard palate area and a permanent soft silicone lining material covering the soft palate area. A claw-shaped wire component was extended backwards from acrylic and was embedded in soft silicone to aid in retention and approximation of two materials. The advantage of adding the soft lining material in posterior area helped in covering the adequate superior extension and margins for maximal pharyngeal activity. This also improved the hypernasality, speech, comfort and overall patient acceptance.

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Multidisciplinary Approach for Esthetic, Functional, and Quality-of-Life Outcome in Soft Palate Cleft Patient

Cited by 2 publications

References 21 publications

Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series

Pharyngeal Obturator Prosthesis Ideal for Orthodontic Appliances: A Case Series

The Soft Palate Friendly Speech Bulb for Velopharyngeal Insufficiency

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