A supportive-type prosthetic speech aid

Gibbons, Paul; Bloomer, Harlan

doi:10.1016/0022-3913(58)90169-0

Cited by 69 publications

(18 citation statements)

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“…Disabilities resulting from such resection include impaired speech articulation, difficulty in swallowing, trismus, deviation of mandible during functional movement, [10,11] poor control of salivary secretions and severe cosmetic disfigurement. Based on the amount of resection or extent of bone loss, mandibular defects can be classified as continuity and discontinuity defects.…”

Section: Discussionmentioning

confidence: 99%

“…Loss of mandibular continuity alters the symmetry of mandible, due to the rotation and deviation of the residual mandible toward the affected side. [11,12] The prosthetic rehabilitation of patients with resection generally requires an immediate post-surgical prosthesis, an interim prosthesis and a permanent prosthesis. However, most of patients with acquired surgical defects can be restored close to normal function and appearance.…”

Section: Discussionmentioning

confidence: 99%

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Immediate Prosthetic Rehabilitation of Surgically Enucleated Pindborg tumour: A case report

Narwal¹,

Chugh²,

Swami³

2016

AIMDR

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Treatment of patients with maxillofacial defects is one of the most challenging tasks. Prosthetic reconstruction of maxillomandibular defects may be achieved with the help of removable and fixed prosthesis to restore the lost form, function and speech. The purpose of this article is to describes a case of CEOT (Calcifying Epithelial Odontogenic Tumor) in left mandibular body region managed with a treatment obturator, which allowed closure of the defect by secondary healing through granulation tissue maturation and associated bone fill. A 19 guage wire was used to stabilize the appliance, and provide retentive properties. The obturator allowed decrease in size of defect and enhanced comfort and overall wellbeing of the patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Immediate Prosthetic Rehabilitation of Surgically Enucleated Pindborg tumour: A case report

Narwal¹,

Chugh²,

Swami³

2016

AIMDR

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“…When the soft palate is of adequate dimensions but lacks movement because of disease or trauma affecting muscular and neurological capacity, the term palatopharyngeal incompetence applies 1. The term palatopharyngeal inadequacy includes incompetence and insufficiency, but may also suggest a reduction or absence of pharyngeal wall function 1 2. In normal palatopharyngeal function, at rest, the soft palate drapes from the posterior border of the hard palate, leaving an opening from the back of the oral cavity.…”

Section: Introductionmentioning

confidence: 99%

Speech aid prosthesis

Uphadhyay

Jain

Kumar³

et al. 2013

BMJ Case Reports

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Velopharyngeal defects are common problem encountered in dentistry, different prosthetic designs can be used; however, the prosthesis should be comfortable and function properly. Surgical treatment is the treatment of choice, but there are few patients who are not able to receive the surgical intervention; in such cases prosthetic management is considered using speech bulb prosthesis to overcome nasal twang and nasal regurgitation.

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“…The first palatal lift appliance was introduced by Gibbons and Bloomer in 1958 . The palatal lift appliance can lift the incompetent soft palate in a superior direction, and the superior constrictor walls contract medially and press into the lateral portion of the elevated soft palate, hence influencing appropriate velopharyngeal closure .…”

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confidence: 99%

Prosthetic Rehabilitation with Palatal Lift/Augmentation in a Patient with Neurologic/Motor Deficit Due To Cancer Therapy for Chondrosarcoma

Asfar

Hutcheson

Won

2018

Journal of Prosthodontics

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This clinical report describes the prosthetic rehabilitation of a 25‐year‐old man with a history of grade II chondrosarcoma at the skull base who had undergone surgical resection and thereafter developed velopharyngeal incompetency (VPI), dysarthria, and dysphagia. Upon baseline fiberoptic endoscopic evaluation of swallowing (FEES), the patient had an atypical pattern of VPI with minimal to no velar lift during speech, blow, or suck tasks, but near complete velar lift and seal during swallowing. A palatal augmentation prosthesis combined with a resilient palatal lift extension was fabricated to enhance speech by displacing the soft palate and to decrease hypernasality, while avoiding interference with bolus transport. A resilient wrought wire extension was necessary to accommodate the velar movement upon swallowing while keeping the integrity of the velar lift during speech. In conclusion, this unique combination prosthesis was able to help the patient's atypical pattern of VPI by improving speech and preserving swallowing function, which was confirmed during a post‐endoscopic evaluation.

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A supportive-type prosthetic speech aid

Cited by 69 publications

References 0 publications

Immediate Prosthetic Rehabilitation of Surgically Enucleated Pindborg tumour: A case report

Immediate Prosthetic Rehabilitation of Surgically Enucleated Pindborg tumour: A case report

Speech aid prosthesis

Prosthetic Rehabilitation with Palatal Lift/Augmentation in a Patient with Neurologic/Motor Deficit Due To Cancer Therapy for Chondrosarcoma

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