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Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence
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논문 기본 정보

Type
Academic journal
Author
Journal
The Korean Academy Of Prosthodontics The Journal of Advanced of Prosthodontics The Journal of Advanced of Prosthodontics 제4권 제4호 KCI Accredited Journals
Published
2012.1
Pages
243 - 247 (5page)

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Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence
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Abstract· Keywords

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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.
#Velopharyngeal incompetence #Velopharyngeal insufficiency #Palatal lift prosthesis #Speech therapy

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References (15)

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Beery QC / 1983 / Pharyngeal wall motion in prosthetically managed cleft palate adults / Cleft Palate J 20 : 7 ~ 17 google schola Cotton RT / 1995 / Velopharyngeal Insufficiency, In Pediatric Otolaryngology, 3rd Edition / WB Saunders Company : 1621 ~ 1631 google schola Crockett DM / 1990 / Velopharyngeal incompetence, In Common Problems in Pediatric Otolaryngology-Head and Neck Surgery / Year Book Medical Publisher : 275 ~ 288 google schola Curtis TA / 1979 / Speech, palatopharyngeal function, and restoration of soft palate defects, In Maxillofacial Rehabilitation- Prosthodontic and Surgical Consideration / CV Mosby Company google schola Eckert SE / 2000 / Clinical Management of the Soft Palate Defect, In Clinical Maxillofacial Prosthetics / Quintessence Publishing Co, Inc : 121 ~ 131 google schola

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