Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence
Identifieur interne : 003200 ( Main/Exploration ); précédent : 003199; suivant : 003201Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence
Auteurs : Neerja Raj [Inde] ; Vineet Raj [Inde] ; Himanshu Aeran [Inde]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2012.
Abstract
The velopharynx is a tridimensional muscular valve located between the oral and nasal cavities, consisting of the lateral and posterior pharyngeal walls and the soft palate, and controls the passage of air. Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to a lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation, and speech therapy; though optimal results often require a multidisciplinary approach for the restoration of both anatomical and physiological defect. We report a case of 56 year old male patient presenting with hypernasal speech pattern and velopharyngeal insufficiency secondary to cleft palate which had been surgically corrected 18 years ago. The patient was treated with a combination of speech therapy and palatal lift prosthesis employing interim prostheses in various phases before the insertion of definitive appliance. This phase-wise treatment plan helped to improve patient's compliance and final outcome.
Url:
DOI: 10.4047/jap.2012.4.4.243
PubMed: 23236578
PubMed Central: 3517964
Affiliations:
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Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to a lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation, and speech therapy; though optimal results often require a multidisciplinary approach for the restoration of both anatomical and physiological defect. We report a case of 56 year old male patient presenting with hypernasal speech pattern and velopharyngeal insufficiency secondary to cleft palate which had been surgically corrected 18 years ago. The patient was treated with a combination of speech therapy and palatal lift prosthesis employing interim prostheses in various phases before the insertion of definitive appliance. This phase-wise treatment plan helped to improve patient's compliance and final outcome.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Curtis, Ta" uniqKey="Curtis T">TA Curtis</name></author><author><name sortKey="Beumer, J" uniqKey="Beumer J">J Beumer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cotton, Rt" uniqKey="Cotton R">RT Cotton</name></author><author><name sortKey="Willging, Jp" uniqKey="Willging J">JP Willging</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pinto, Jh" uniqKey="Pinto J">JH Pinto</name></author><author><name sortKey="Pegoraro Krook, Mi" uniqKey="Pegoraro Krook M">MI Pegoraro-Krook</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weber, J" uniqKey="Weber J">J Weber</name></author><author><name sortKey="Chase, Ra" uniqKey="Chase R">RA Chase</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sell, D" uniqKey="Sell D">D Sell</name></author><author><name sortKey="Mars, M" uniqKey="Mars M">M Mars</name></author><author><name sortKey="Worrell, E" uniqKey="Worrell E">E Worrell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sweeney, T" uniqKey="Sweeney T">T Sweeney</name></author><author><name sortKey="Sell, D" uniqKey="Sell D">D Sell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Loney, Rw" uniqKey="Loney R">RW Loney</name></author><author><name sortKey="Bloem, Tj" uniqKey="Bloem T">TJ Bloem</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Witt, Pd" uniqKey="Witt P">PD Witt</name></author><author><name sortKey="Rozelle, Aa" uniqKey="Rozelle A">AA Rozelle</name></author><author><name sortKey="Marsh, Jl" uniqKey="Marsh J">JL Marsh</name></author><author><name sortKey="Marty Grames, L" uniqKey="Marty Grames L">L Marty-Grames</name></author><author><name sortKey="Muntz, Hr" uniqKey="Muntz H">HR Muntz</name></author><author><name sortKey="Gay, Wd" uniqKey="Gay W">WD Gay</name></author><author><name sortKey="Pilgram, Tk" uniqKey="Pilgram T">TK Pilgram</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="La Velle, We" uniqKey="La Velle W">WE La Velle</name></author><author><name sortKey="Hardy, Jc" uniqKey="Hardy J">JC Hardy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beery, Qc" uniqKey="Beery Q">QC Beery</name></author><author><name sortKey="Rood, Sr" uniqKey="Rood S">SR Rood</name></author><author><name sortKey="Schramm, Vl" uniqKey="Schramm V">VL Schramm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karnell, Mp" uniqKey="Karnell M">MP Karnell</name></author><author><name sortKey="Rosenstein, H" uniqKey="Rosenstein H">H Rosenstein</name></author><author><name sortKey="Fine, L" uniqKey="Fine L">L Fine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mazaheri, M" uniqKey="Mazaheri M">M Mazaheri</name></author><author><name sortKey="Mazaheri, Eh" uniqKey="Mazaheri E">EH Mazaheri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hardy, Jc" uniqKey="Hardy J">JC Hardy</name></author><author><name sortKey="Netsell, R" uniqKey="Netsell R">R Netsell</name></author><author><name sortKey="Schweiger, Jw" uniqKey="Schweiger J">JW Schweiger</name></author><author><name sortKey="Morris, Hl" uniqKey="Morris H">HL Morris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eckert, Se" uniqKey="Eckert S">SE Eckert</name></author><author><name sortKey="Desjardins, Rp" uniqKey="Desjardins R">RP Desjardins</name></author><author><name sortKey="Taylor, Td" uniqKey="Taylor T">TD Taylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crockett, Dm" uniqKey="Crockett D">DM Crockett</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Raj, Neerja" sort="Raj, Neerja" uniqKey="Raj N" first="Neerja" last="Raj">Neerja Raj</name></noRegion><name sortKey="Aeran, Himanshu" sort="Aeran, Himanshu" uniqKey="Aeran H" first="Himanshu" last="Aeran">Himanshu Aeran</name><name sortKey="Raj, Vineet" sort="Raj, Vineet" uniqKey="Raj V" first="Vineet" last="Raj">Vineet Raj</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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