The Soft Palate Friendly Speech Bulb for Velopharyngeal Insufficiency

Kahlon, Sukhdeep Singh; Kahlon, Monaliza; Gupta, S.H.; Dhingra, Parvinder Singh

doi:10.7860/jcdr/2016/18993.8464

Cited by 5 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,6 Kahlon et al reported that permanent soft silicone lining material can be used for speech bulb fabrication which can be more patient friendly. 9 Pharyngeal prosthesis consists of two parts. One is oral or palatal and the other is pharyngeal or obturator part.…”

Section: Discussionmentioning

confidence: 99%

Pharyngeal Obturator Prosthetic Rehabilitation of Velopharyngeal Insufficiency

Khan¹,

Mushtaq²,

Shah³

2019

J Coll Physicians Surg Pak

View full text Add to dashboard Cite

Congenital or acquired defects of soft palate cause physical, functional and psychological disabilities. Surgical closure or prosthetic rehabilitation are the two treatment modalities. If surgery is contraindicated, prosthetic rehabilitation is the alternative treatment option. Pharyngeal obturator prosthesis provides adequate closure of the velopharyngeal insufficiency. In this case report, a young patient is treated for velopharyngeal insufficiency with pharyngeal obturator as the patient had refused to undergo surgical closure. The prosthesis was successfully fabricated and was evaluated for proper functioning. It improved speech, deglutition and psychological well-being of the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Pharyngeal Obturator Prosthetic Rehabilitation of Velopharyngeal Insufficiency

Khan¹,

Mushtaq²,

Shah³

2019

J Coll Physicians Surg Pak

View full text Add to dashboard Cite

show abstract

“…Prosthesis improved the psychology and confidence of the patient for better social acceptability. 4,5…”

Section: Discussionmentioning

confidence: 99%

“…Modeling wax was used to extend the stock tray to record the areas of soft palate and after blocking the undercut alginate impressions of both arches were made. Casts were poured with dental stone 3,4 and maxillary full coverage special tray was fabricated after covering teeth with sheet of wax and blocking the undercut. Mandibular special tray was fabricated with spacer in edentulous area for two-stage pickup impression.…”

Section: Case Reportmentioning

confidence: 99%

Esthetic and Functional Rehabilitation of Maxilla with Multiple Palatal Defects using Speech Aid Prosthesis

Kant¹,

Bhat²,

Shadakshari³

et al. 2017

IJOCRWEB

View full text Add to dashboard Cite

Introduction: The soft palate acts as a dynamic separator between the oral and nasal cavity. The soft palate, lateral and posterior pharyngeal walls form the velopharyngeal closure so that all of them create a three-dimensional muscular valve, which is known as velopharyngeal sphincter. When some or all of the anatomic structure of the soft palate is congenitally missing or developmentally defective, it is called as palatopharyngeal insufficiency. The palatopharyngeal obturator obturates the defect of the soft palate and maintains the contact of the prosthesis with the posterior and lateral walls of the pharynx. This in turn restores the function of the palatopharyngeal obturation. Aim: The aim of this article is to describe a simple and convenient method to rehabilitate a patient with multiple palatal openings and defects using speech aid prosthesis. Case report: A 45-year-old male patient reported to the Department of Prosthodontics, Sri Hasanamba Dental College & Hospital Hassan, Karnataka, India with complaint of difficulty in swallowing and speech. On intraoral examination, a large soft palate defect was evident extending up to hard palate and maxillary anterior vestibular defect and a fissure connecting them. Maxillary arch was completely edentulous except two teeth in the posterior region. A hollow bulb speech aid prosthesis was fabricated to rehabilitate the defect. Conclusion: This palatopharyngeal obturator improved the speech intelligence and corrected nasal regurgitation. It also improved the masticatory efficacy and appearance of the patient. This in turn resulted in psychological improvement of the patient. Clinical significance: A hollow bulb speech aid prosthesis is a good option for patients who are not willing to undergo surgery. It rehabilitates nasal regurgitation and speech intelligency.

show abstract

“…Palatal defects can be classified either as congenital (cleft palate) or acquired (resulting from surgeries involving parts of the palate). Structural/anatomical defects of the soft palate result in velopharyngeal insufficiency, whereas velopharyngeal incompetency is a result of a neurological deficit [4,5]. Cleft palate patients often present with residual velopharyngeal inadequacy following surgical repair [3].…”

Section: Introductionmentioning

confidence: 99%

Hollow Complete Denture With a Speech Bulb Prosthesis: A Case Report

Sarmalkar,

Aras,

Nagarsekar

et al. 2024

Cureus

View full text Add to dashboard Cite

Speech is the most basic yet invaluable mode of expression for an individual. Alterations in speech can have vast effects on the psychological well-being of a person, hampering social interactions. Congenital or traumatic defects of the hard and soft palate result in velopharyngeal dysfunction, which often results in abnormal and aberrant speech. Apart from these, it is also a common outcome following surgical repair of cleft palate. Prosthodontic management of such cases with velopharyngeal obturators to improve speech and function is well documented and known to give optimal results. In this case report, we are presenting the rehabilitation of residual velopharyngeal insufficiency post-cleft palate closure using a speech bulb prosthesis attached to a complete denture. As the speech bulb would add to the weight of the existing prosthesis, a hollow complete denture was planned. The prosthesis resulted in a decrease in nasal air emissions and hypernasality, thus improving the patient's communication skills and overall quality of life.

show abstract

The Soft Palate Friendly Speech Bulb for Velopharyngeal Insufficiency

Cited by 5 publications

References 6 publications

Pharyngeal Obturator Prosthetic Rehabilitation of Velopharyngeal Insufficiency

Pharyngeal Obturator Prosthetic Rehabilitation of Velopharyngeal Insufficiency

Esthetic and Functional Rehabilitation of Maxilla with Multiple Palatal Defects using Speech Aid Prosthesis

Hollow Complete Denture With a Speech Bulb Prosthesis: A Case Report

Contact Info

Product

Resources

About