An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate
Identifieur interne : 004791 ( Ncbi/Merge ); précédent : 004790; suivant : 004792An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate
Auteurs : Manawar Ahmad [Inde] ; B. Dhanasekar [Inde] ; I N Aparna [Inde] ; Hina Naim [Inde]Source :
- BMJ Case Reports [ 1757-790X ] ; 2013.
Abstract
Treatment of cleft lip and palate patients often demand well-coordinated work of medical and dental specialists. In spite of surgical and orthodontic therapy, prosthetic rehabilitation is always necessary because of partial anadontia, maxillary hypoplasia and velopharyngeal dysfuction. The aim of the prosthetic treatment is to improve aesthetics, function and speech of the patients; however, factors like underdeveloped and collapsed maxillary arch, retrognathic maxilla and reduced alveolar ridge height make the treatment challenging. This clinical report describes an interdisciplinary approach for the management of cleft lip and palate patient associated with mutilated dentition. The prosthetic phase began along with orthodontic treatment to achieve sufficient space distribution, which was restored with fixed dental prosthesis to stabilise the achieved status of occlusion. Palatal lift prosthesis was fabricated to restore the velopharyngeal incompetency with an innovative technique using ‘standard orthodontic expansion screw’ to eliminate hypernasality, decrease intelligibility of speech and to aid in deglutition.
Url:
DOI: 10.1136/bcr-2013-200174
PubMed: 23821635
PubMed Central: 3736618
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Dhanasekar</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Aparna, I N" sort="Aparna, I N" uniqKey="Aparna I" first="I N" last="Aparna">I N Aparna</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Naim, Hina" sort="Naim, Hina" uniqKey="Naim H" first="Hina" last="Naim">Hina Naim</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Prosthodontics, Faculty of Dentistry</addr-line>,<institution>Melaka Manipal Medical College</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23821635</idno><idno type="pmc">3736618</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3736618</idno><idno type="RBID">PMC:3736618</idno><idno type="doi">10.1136/bcr-2013-200174</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001A01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001A01</idno><idno type="wicri:Area/Pmc/Curation">001A01</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001A01</idno><idno type="wicri:Area/Pmc/Checkpoint">001B43</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001B43</idno><idno type="wicri:Area/Ncbi/Merge">004791</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate</title><author><name sortKey="Ahmad, Manawar" sort="Ahmad, Manawar" uniqKey="Ahmad M" first="Manawar" last="Ahmad">Manawar Ahmad</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dhanasekar, B" sort="Dhanasekar, B" uniqKey="Dhanasekar B" first="B" last="Dhanasekar">B. Dhanasekar</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Aparna, I N" sort="Aparna, I N" uniqKey="Aparna I" first="I N" last="Aparna">I N Aparna</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Naim, Hina" sort="Naim, Hina" uniqKey="Naim H" first="Hina" last="Naim">Hina Naim</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Prosthodontics, Faculty of Dentistry</addr-line>,<institution>Melaka Manipal Medical College</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Case Reports</title><idno type="eISSN">1757-790X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Treatment of cleft lip and palate patients often demand well-coordinated work of medical and dental specialists. In spite of surgical and orthodontic therapy, prosthetic rehabilitation is always necessary because of partial anadontia, maxillary hypoplasia and velopharyngeal dysfuction. The aim of the prosthetic treatment is to improve aesthetics, function and speech of the patients; however, factors like underdeveloped and collapsed maxillary arch, retrognathic maxilla and reduced alveolar ridge height make the treatment challenging. This clinical report describes an interdisciplinary approach for the management of cleft lip and palate patient associated with mutilated dentition. The prosthetic phase began along with orthodontic treatment to achieve sufficient space distribution, which was restored with fixed dental prosthesis to stabilise the achieved status of occlusion. Palatal lift prosthesis was fabricated to restore the velopharyngeal incompetency with an innovative technique using ‘standard orthodontic expansion screw’ to eliminate hypernasality, decrease intelligibility of speech and to aid in deglutition.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">BMJ Case Rep</journal-id><journal-id journal-id-type="hwp">casereports</journal-id><journal-id journal-id-type="publisher-id">bmjcasereports</journal-id><journal-title-group><journal-title>BMJ Case Reports</journal-title></journal-title-group><issn pub-type="epub">1757-790X</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23821635</article-id><article-id pub-id-type="pmc">3736618</article-id><article-id pub-id-type="publisher-id">bcr-2013-200174</article-id><article-id pub-id-type="doi">10.1136/bcr-2013-200174</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1522</subject><subject>55</subject><subject>1348</subject><subject>1349</subject><subject>619</subject></subj-group><subj-group subj-group-type="case-report-type"><subject>Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation)</subject></subj-group><subj-group subj-group-type="search-fields"><subject>Female</subject><subject>19-30 Years</subject><subject>Indian Sub-Continent</subject><subject>Asia</subject></subj-group><series-title>Case Report</series-title></article-categories><title-group><article-title>An innovative technique to restore velopharyngeal incompetency for a patient with cleft lip and palate</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ahmad</surname><given-names>Manawar</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Dhanasekar</surname><given-names>B</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Aparna</surname><given-names>I N</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Naim</surname><given-names>Hina</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>Department of Prosthodontics</addr-line>,<institution>Manipal College of Dental Sciences</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></aff><aff id="af2"><label>2</label><addr-line>Department of Prosthodontics, Faculty of Dentistry</addr-line>,<institution>Melaka Manipal Medical College</institution>,<addr-line>Manipal, Karnataka</addr-line>,<country>India</country></aff><author-notes><corresp><label>Correspondence to</label> Professor Manawar Ahmad, <email>ahmad955mls@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>2</day><month>7</month><year>2013</year></pub-date><volume>2013</volume><elocation-id>bcr2013200174</elocation-id><permissions><copyright-statement>2013 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="bcr-2013-200174.pdf"></self-uri><abstract><p>Treatment of cleft lip and palate patients often demand well-coordinated work of medical and dental specialists. In spite of surgical and orthodontic therapy, prosthetic rehabilitation is always necessary because of partial anadontia, maxillary hypoplasia and velopharyngeal dysfuction. The aim of the prosthetic treatment is to improve aesthetics, function and speech of the patients; however, factors like underdeveloped and collapsed maxillary arch, retrognathic maxilla and reduced alveolar ridge height make the treatment challenging. This clinical report describes an interdisciplinary approach for the management of cleft lip and palate patient associated with mutilated dentition. The prosthetic phase began along with orthodontic treatment to achieve sufficient space distribution, which was restored with fixed dental prosthesis to stabilise the achieved status of occlusion. Palatal lift prosthesis was fabricated to restore the velopharyngeal incompetency with an innovative technique using ‘standard orthodontic expansion screw’ to eliminate hypernasality, decrease intelligibility of speech and to aid in deglutition.</p></abstract></article-meta></front></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Ahmad, Manawar" sort="Ahmad, Manawar" uniqKey="Ahmad M" first="Manawar" last="Ahmad">Manawar Ahmad</name></noRegion><name sortKey="Aparna, I N" sort="Aparna, I N" uniqKey="Aparna I" first="I N" last="Aparna">I N Aparna</name><name sortKey="Dhanasekar, B" sort="Dhanasekar, B" uniqKey="Dhanasekar B" first="B" last="Dhanasekar">B. Dhanasekar</name><name sortKey="Naim, Hina" sort="Naim, Hina" uniqKey="Naim H" first="Hina" last="Naim">Hina Naim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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