Palatal augmentation prosthesis with alternative palatal vaults for speech and swallowing: A clinical report

Speech and Swallowing Data in Individual Patients Who Underwent Glossectomy after Prosthetic Rehabilitation

“…Twenty-eight studies evaluated swallowing outcomes using objective [20, 24, 25, 27, 31, 38, 40, 44, 46], clinical [15, 21, 22, 29, 30, 32, 33, 36, 37, 41, 42, 45], or subjective assessments [5, 16, 19, 20, 23, 33, 34, 39]. Seventy-three patients demonstrated improvement in swallowing with a prosthesis, 1 patient demonstrated worse outcomes [16], 5 patients demonstrated no changes [46], and 48 patients were not evaluated.…”

“…Clinical evaluations were performed in 7 studies to assess saliva swallowing and/or swallowing different food consistencies. Two studies noted an improvement in saliva swallowing [21, 30], 5 studies reported an improvement in the ability to swallow food [15, 22, 28, 29, 37], 1 study reported a reduction in the oral transit time for thin pastes [29], in 2 studies swallowing was conducted when the head was straight [30, 37], and in 2 studies laryngeal clinical aspiration was not detected [36] or reduced [28] with the use of a prosthesis.…”

“…Speech outcomes showed that there was an improvement in the intelligibility scores for vowels [21, 22], consonants [18, 22, 25, 29, 30], sentences [24], and spontaneous conversation with a prosthesis [4, 24, 29, 30, 44, 45]. Spontaneous conversational intelligibility varied from markedly unintelligible to nearly normal [16, 18, 20, 26, 29, 41, 46], but there was a reduction in the speech rate and an improvement in the intonation and articulation of sounds [5, 31].…”

Total Maksi̇ller Rezeksi̇yonlarin Proteti̇k Tedavi̇si̇: Ilgu Sunumu

“…[19][20][21] Bukkal uzantılı obturatörlerde bulbun tavanının olmaması rezonans boşluğunu küçültmez ve konuşma kalitesini bozmaz, bu da hollow bulb obturatörlere karşı avantaj oluşturur. [22][23][24][25][26] Maksillo-fasiyal protezlerde genel protez kurallarının yanı sıra çoğunlukla her hasta için kendine özgü uygulamalar ve planlamalar yapılmalıdır. Uyguladığımız protetik tedaviler ile; nazo gastrik sondaya ihtiyaç olmadan hastanın beslenmesi sağlanmış, çiğneme, konuşma ve yutkunma gibi fonksiyonlar geri kazandırılmış ve hastanın tam dişsizliği giderilerek estetik görünümü iyileştirilmiştir.…”

Long Term Rehabilitation of a Total Glossectomy Patient

“…Skelly reported the adaptive speech patterns of partial and total glossectomees [2]. Shimodaira's reports on the speech with palatal augmentation prosthesis (PAP) in total glossectomy without perceptual & acoustic analysis [3]. Kaplan, reported effect on deglutition and psychological profile with complete dentures and a mandibular tongue prosthesis following total glossectomy [4].…”