Open AccessProsthetic management of an adult cleft patient with velopharyngeal appliance and airway evaluation by acoustic pharyngometry
Author(s) -
Pramod K Chahar,
Abir De Sarkar,
Vaibhav Jain,
Vishvnathe Udayshankar
Publication year - 2021
Publication title -
ip international journal of maxillofacial imaging/international journal of maxillofacial imaging/ip international journal of maxillofacial imaging
Language(s) - English
Resource type - Journals
eISSN - 2581-382X
pISSN - 2455-6750
DOI - 10.18231/j.ijmi.2021.017
Subject(s) - medicine , airway , congenital malformations , prosthesis , airway management , voice prosthesis , dentistry , airway obstruction , orthodontics , surgery , larynx , pregnancy , genetics , laryngectomy , biology
Cleft lip and palate is the most common congenital malformation in oro-facial region. In adult cases where defect is large and paucity of tissue is there, prosthetic management of the defect with palatal obutrator and velopharyngeal appliance is the treatment of choice. It requires scrupulous clinical skills and detailed knowledge of anatomy to prevent airway obstruction and discomfort during function. Acoustic pharyngometry (AP) is an advanced tool to evaluate the airway in 3D during function without radiation exposure. In this case report palatal obturator with speech aid prosthesis was fabricated to rehabilitate an adult cleft palate patient. AP test was done to ensure adequate airway space with prosthesis.