Fabrication of an obturator prosthesis that completes velopharyngeal sealing without fail

点击翻译按钮获取中文摘要

Fabrication of a Speech-bulb-augmented Obturator Prosthesis1) The final impression was taken of the upper jaw, including the lateral and posterior walls of the pharynx, using an individual tray and alginate impression material.2) In order to fabricate the final cast, dental stone was poured into the impression. On the cast superfluous undercuts were modified properly, and the speech-bulb was waxed up, with its placement aimed at the Passavant ridge elevated on the posterior wall of the pharynx, every stage of the whole process being subsequently commited to conventional procedures such as recording of maxillomandibular relations, the arrangement of artificial teeth, clinical try-in, flasking, and finishing and polishing.3) A conventional method was sufficient to well adjust the completed obturator prosthesis.4) It was necessary to have the speech-bulb and the lateral and posterior walls of the pharynx situated 1-2 mm apart.5) A nasopharyngeal fiberscope was indispensable to adjusting the speech-bulb and helping the patient regain his velopharyngeal function.2. Functional Assessment MethodsThe following methods helped to confirm the full functionality of the speech-bulb-augmented obturator prosthesis :1) With respect to velopharyngeal function :(1) Lateral Cephalogram, (2) Water Drinking Test, (3) Blowing Test, (4) Nasopharyngeal Fiberscopy, (5) Measurement of Outflow of Airstream From the Nares2) With respect to speech sound :(1) Pronunciation Test, (2) Speech Intelligibility Test, (3) Articulation Test, (4) Sound Spectrography3) With respect to swallowing :(1) Water Drinking Test, (2) Videofuluorography, (3) CinefluorographyOf these, nasopharyngeal fiberscopy was of absolute necessity, not only in fabricating an obturator prosthesis but also in assessing its function.