Prosthodontic rehabilitation of velopharyngeal insufficiency with definitive obturator

Hazari, Puja; Mishra, Sunil Kumar; Khare, Amit

doi:10.4103/jclpca.jclpca_17_17

Cited by 1 publication

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“…In some studies, an intensive speech therapy program and careful reduction of the bulb had improved the activity of the velopharyngeal sphincter to such a degree that the patient was able to discontinue the prosthesis [11]. Various case reports have been published in the past regarding the management of velopharyngeal deficiency but a few have emphasized the role of speech therapy [11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Intensive Speech Therapy Programme Combined with a Speech Bulb Prosthesis in the Prosthodontic Rehabilitation of Velopharyngeal Dysfunction

Paul

Augustine²,

Sharma

et al. 2020

Cureus

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Velopharyngeal insufficiency resulting from a defect in the soft palate, acquired or congenital, causes incomplete closure of the palatopharyngeal sphincter. An individual with such a defect suffers from multiple problems in eating, speaking, breathing, as well as psychological trauma, in society. This case report describes the rehabilitation of a patient with a congenital velopharyngeal defect using a definitive speech bulb obturator and an intensive speech therapy program. The patient underwent speech therapy for a period of three months. A speech and voice assessment was conducted before and after speech therapy. A speech intelligibility test was conducted, and nasalance was measured using a nasometer. Significant improvement in speech, mastication, and velopharyngeal function was achieved after bulb reduction and speech therapy.

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