Meatus obturator-a treatment of choice in managing Velopharyngeal defect-a case report

Defects related to Velopharyngeal insufficiency has always been a critical and sensitive issue to manage as it requires rehabilitation of the palatal defect along with maintaining the integrity of speech, mastication and esthetics. The primary goal of prosthodontist in each case is to construct a prosthesis, which will restore the defect, improve Esthetics and thereby benefit the morale of patient. In case of completely edentulous maxilla with the defect involving the hard and soft palate, Meatus obturator plays an important role by contributing to retention and stability of the prosthesis by engaging the posterior nasal undercuts. This case report describes the novel approach to fabricate Meatus obturator for a patient suffering from Velopharyngeal insufficiency.

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Transnasal endoscopic approach with powered instrumentation for treating squamous papilloma in the nasopharyngeal surface of the soft palate

The Journal of Laryngology & Otology ◽

10.1017/s0022215112003167 ◽

2013 ◽

Vol 127 (5) ◽

pp. 516-518 ◽

Cited By ~ 2

Author(s):

J-H Lee ◽

Y-O Lee ◽

C-H Lee ◽

K-S Cho

Keyword(s):

Case Report ◽

Soft Palate ◽

Relevant Literature ◽

Complete Removal ◽

Transoral Approach ◽

Endoscopic Approach ◽

Squamous Papilloma ◽

Novel Approach ◽

Patient Reported ◽

Transnasal Endoscopic Approach

AbstractObjective:To demonstrate a safe and effective method for complete resection of squamous papilloma in the nasopharyngeal surface of the soft palate. This technique was used on a patient in whom the papilloma had twice recurred following uvulopalatopharyngoplasty.Methods:Case report and review of the relevant literature.Results:The patient reported in this paper had recurrent squamous papilloma in the nasopharyngeal surface of the soft palate following uvulopalatopharyngoplasty. He also suffered from nasal regurgitation when drinking water. This lesion, which was difficult to access, was successfully treated via a transnasal endoscopic approach using powered instrumentation.Conclusion:This case report highlights a novel approach for the complete removal of a recurrent papilloma in a relatively inaccessible location. Compared with a transoral approach such as uvulopalatopharyngoplasty, the transnasal endoscopic approach using powered instrumentation could provide a safer, faster, easier and less invasive means of treating squamous papilloma in the nasopharyngeal surface of the soft palate, especially for a lesion that recurs following a transoral approach.

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Unilateral Absence of the Soft Palate: Case Report of Reconstruction with a Mucoperiosteal Island Flap

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1993_030_0497_uaotsp_2.3.co_2 ◽

1993 ◽

Vol 30 (5) ◽

pp. 497-499 ◽

Cited By ~ 6

Author(s):

M. Emin Mavili ◽

Tacettin Gucer ◽

Yucel Erk

Keyword(s):

Case Report ◽

Cleft Palate ◽

Soft Palate ◽

Speech Quality ◽

Island Flap ◽

Velopharyngeal Insufficiency ◽

Congenital Absence

Congenital absence of half of the soft palate Is a rare deformity. There is little in the literature about its definition and management. This article presents a case with velopharyngeal insufficiency caused by unilateral absence of the soft palate. The patient was treated with a modification of the mucoperiosteal Island flap, first designed by Millard, to provide nasal lining during pushback lengthening of a short cleft palate. The speech quality of the patient Improved noticeably after the operation. Although island flap has limited use in primary cleft palate surgery, It may be effective in reconstruction of soft palate defects, when standard pushback procedures are not adequate for solving the problem.

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Role of Speech Aid Prosthesis as Diagnostic and Therapeutic Aid for Velopharyngeal Insufficiency Defect: A Case Report

Archives of Orofacial Sciences ◽

10.21315/aos2021.16.1.9 ◽

2021 ◽

Vol 16 (1) ◽

pp. 87-94

Author(s):

Asikul Wadud ◽

Waqas Tanveer ◽

Natdhanai Chotprasert ◽

Theerathavaj Srithavaj

Keyword(s):

Case Report ◽

Soft Palate ◽

Speech Therapy ◽

Velopharyngeal Insufficiency ◽

Clinical Report ◽

Alveolar Ridge ◽

Secondary Effects ◽

Left Posterior ◽

Nasal Emission

Soft palate tumors pose the challenge during reconstructive and rehabilitating procedures. Surgical resection of these tumors leads to velopharyngeal insufficiency (VPI). The primary effects of VPI are hypernasality and air-flow escape, while the secondary effects are abnormalities in speech articulation. Surgical revision along with speech therapy is a common approach to the treatment of VPI. Prosthetic management by means of speech aid prosthesis helps to reduce resonance, nasal emission and consonants errors. This clinical report describes the different stages of rehabilitation of velopharyngeal insufficiency defect following resection of malignant melanoma of left posterior alveolar ridge and soft palate. The speech aid prosthesis helped to rehabilitate the velopharyngeal insufficiency defect and aided in the diagnosis of extent of speech function improvement by perceptual and objective methods.

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Targeted epidural catheter injection of polyethylene glycol hydrogel for repair of a spontaneous dural tear: a novel case report

Journal of Neurosurgery Spine ◽

10.3171/2015.6.spine1553 ◽

2016 ◽

Vol 24 (2) ◽

pp. 355-358 ◽

Cited By ~ 2

Author(s):

Solomon Pearce ◽

Randall Henthorn ◽

William Schueler

Keyword(s):

Case Report ◽

Polyethylene Glycol ◽

Epidural Catheter ◽

Intracranial Hypotension ◽

The Novel ◽

Dural Tear ◽

Novel Approach ◽

Csf Leakage

The authors describe the novel approach of using a blunt-tipped catheter to repair a spontaneous dural tear. This case shows an effective percutaneous method of delivering dural sealant through an easily positioned catheter for the treatment of intracranial hypotension due to spontaneous CSF leakage.

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Post-corrective nasal stenosis patency rehabilitation using glue gun stick: a case report on the novel management strategy

European Journal of Medical Case Reports ◽

10.24911/ejmcr/173-1588580038 ◽

2020 ◽

pp. 218-222

Author(s):

Siti Johari ◽

Norasnieda Shukri ◽

Ramiza Ramli ◽

Arman Saad

Keyword(s):

Case Report ◽

Management Strategy ◽

The Novel

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Exploring normative perceptions and misperceptions of private, environmentally impactful behaviours

10.31234/osf.io/p57ba ◽

2020 ◽

Author(s):

Elaine Gallagher ◽

Bas Verplanken ◽

Ian Walker

Keyword(s):

Social Norms ◽

Behaviour Change ◽

Social Contexts ◽

The Novel ◽

Normative Influence ◽

Change Mechanism ◽

Novel Approach ◽

Classical Studies ◽

Referent Group

Social norms have been shown to be an effective behaviour change mechanism across diverse behaviours, demonstrated from classical studies to more recent behaviour change research. Much of this research has focused on environmentally impactful actions. Social norms are typically utilised for behaviour change in social contexts, which facilitates the important element of the behaviour being visible to the referent group. This ensures that behaviours can be learned through observation and that deviations from the acceptable behaviour can be easily sanctioned or approved by the referent group. There has been little focus on how effective social norms are in private or non-social contexts, despite a multitude of environmentally impactful behaviours occurring in the home, for example. The current study took the novel approach to explore if private behaviours are important in the context of normative influence, and if the lack of a referent groups results in inaccurate normative perceptions and misguided behaviours. Findings demonstrated variance in normative perceptions of private behaviours, and that these misperceptions may influence behaviour. These behaviours are deemed to be more environmentally harmful, and respondents are less comfortable with these behaviours being visible to others, than non-private behaviours. The research reveals the importance of focusing on private behaviours, which have been largely overlooked in the normative influence literature.

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A Novel Approach to EEG Speech Activity Detection with Visual Stimuli and Mobile BCI

Applied Sciences ◽

10.3390/app11020674 ◽

2021 ◽

Vol 11 (2) ◽

pp. 674

Author(s):

Marianna Koctúrová ◽

Jozef Juhár

Keyword(s):

Visual Stimuli ◽

Computer Interface ◽

Single Subject ◽

Detection Accuracy ◽

The Novel ◽

Activity Detection ◽

Speech Activity ◽

Novel Approach ◽

Eeg Data ◽

Speech Activity Detection

With the ever-progressing development in the field of computational and analytical science the last decade has seen a big improvement in the accuracy of electroencephalography (EEG) technology. Studies try to examine possibilities to use high dimensional EEG data as a source for Brain to Computer Interface. Applications of EEG Brain to computer interface vary from emotion recognition, simple computer/device control, speech recognition up to Intelligent Prosthesis. Our research presented in this paper was focused on the study of the problematic speech activity detection using EEG data. The novel approach used in this research involved the use visual stimuli, such as reading and colour naming, and signals of speech activity detectable by EEG technology. Our proposed solution is based on a shallow Feed-Forward Artificial Neural Network with only 100 hidden neurons. Standard features such as signal energy, standard deviation, RMS, skewness, kurtosis were calculated from the original signal from 16 EEG electrodes. The novel approach in the field of Brain to computer interface applications was utilised to calculated additional set of features from the minimum phase signal. Our experimental results demonstrated F1 score of 86.80% and 83.69% speech detection accuracy based on the analysis of EEG signal from single subject and cross-subject models respectively. The importance of these results lies in the novel utilisation of the mobile device to record the nerve signals which can serve as the stepping stone for the transfer of Brain to computer interface technology from technology from a controlled environment to the real-life conditions.

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Nonepileptic Myoclonus in COVID-19: Case Report

The Neurohospitalist ◽

10.1177/19418744211004315 ◽

2021 ◽

pp. 194187442110043

Author(s):

Henly Hewan ◽

Annie Yang ◽

Aparna Vaddiparti ◽

Benison Keung

Keyword(s):

Case Report ◽

Critically Ill ◽

Recovery Phase ◽

Critically Ill Patient ◽

High Dose ◽

The Novel ◽

Neurological Manifestations ◽

Immune Mediated ◽

Novel Coronavirus ◽

Post Infectious

In late 2019, the novel coronavirus, SARS-CoV-2, and the disease it causes, COVID-19, was identified. Since then many different neurological manifestations of COVID-19 have been well reported. Movement abnormalities have been rarely described. We report here a critically ill patient with COVID-19 who developed generalized myoclonus during the recovery phase of the infection. Myoclonus was associated with cyclical fevers and decreased alertness. Movements were refractory to conventional anti-epileptic therapies. There was concern that myoclonus could be part of a post-infectious immune-mediated syndrome. The patient improved fully with a 4-day course of high-dose steroids. Our experience highlights a rare, generalized myoclonus syndrome associated with COVID-19 that may be immune-mediated and is responsive to treatment.

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