PREPARATION FOR PALATOPLASTY SURGERY WITH AN ACRYLIC FEEDING OBTURATOR: A CASE REPORT

ABSTRACTBackground: Clefts on the lips and palate are common cases to be found frequently in the field of dentistry. This gap connects the oral cavity and the nasal cavity so that it interferes with the nutritional intake in patients. The age and size of the oral cavity in patients become particular challenges for prosthetic rehabilitation. Another challenge lies at the impression procedure, because it is an essential part in the making of obturator. Objective: To provide information on the management of patient with cleft palate using feeding obturator from acrylic material. Case: A 13-months-old male patient arrived at Prof. Soedomo Gadjah Mada University Dental Hospital with his parents and was seeking for prosthetic therapy to cover the cleft on his palate because it had been muddling with food and beverage intake. Patient had undergone cheiloplasty surgery and further arranged for palatoplasty procedure. Intraoral examination exhibited a cleft extended from hard palate, soft palate, and uvula. Case management: Upper jaw impression was performed for individual tray fabrication, followed by impression procedure in an upright straight position until the patient bawled. The impression result was casted to construct an obturator using acrylic heat cure material. Fitting surface was covered with soft liner. Treatment result showed that the obturator was retentive, stable and able to assist the nutritional intake in patient. Conclusion: Acrylic feeding obturator can recover the condition in patient with cleft palate and improve nutritional intake as well as body weight to prepare patient for palatoplasty surgery.Keywords: Cleft Palate, Feeding Plate, Obturator

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A Preoperative Appliance for a Newborn with Cleft Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/07-093.1 ◽

2009 ◽

Vol 46 (1) ◽

pp. 53-57 ◽

Cited By ~ 2

Author(s):

Banu Karayazgan ◽

Yumushan Gunay ◽

Bahadir Gurbuzer ◽

Mustafa Erkan ◽

Arzu Atay

Keyword(s):

Oral Cavity ◽

Cleft Palate ◽

Negative Pressure ◽

Posterior Pharyngeal Wall ◽

Surgical Correction ◽

Nutritional Intake ◽

Clinical Report ◽

Modified Technique ◽

Pharyngeal Wall ◽

Affected Infant

Cleft palate is a commonly observed congenital maxillofacial defect. One of the most important problems with clefts is the interference with feeding. An affected infant cannot produce negative pressure in the oral cavity and therefore cannot move the bolus backward to the pharynx. To obtain better nutritional intake prior to surgical correction, a palatal lift obturator is recommended. In this clinical report, a modified technique of obturator fabrication is presented. The new method uses a piece of tulle, a flexible and durable material that is frequently used in theater attire. With the help of this material, the bulb part is connected to the plate as a labile piece, and this connection acts like a natural velopharyngeal extension. Additionally, because of the softer property of the silicone elastomer, the posterior pharyngeal wall is less irritated.

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Prevalence of oral mucocele among outpatients at Saveetha Dental Hospital, India

Bioinformation ◽

10.6026/973206300161013 ◽

2020 ◽

Vol 16 (12) ◽

pp. 1013-1018

Author(s):

Ravindra Kumar Jain ◽

Keyword(s):

Salivary Gland ◽

Oral Cavity ◽

Minor Salivary Gland ◽

Analysis Data ◽

Patient Data ◽

Lower Lip ◽

History Data ◽

Dental Hospital

Oral mucoceles are the most common benign minor salivary gland lesions. It is of interest to document the prevalence of oral mucocele among outpatients at the Saveetha Dental Hospital, India. We used patient data (12 case records) with mucocele occurrence for this analysis. Data included age, gender, diagnosis, lesion duration and relevant dental history. Data shows that oral mucocele were seen predominantly in males (66%) when compared to females (34%). The most affected site in the oral cavity was the lower lip (58%). Thus, data shows that oral mucocele was predominantly seen in males compared to females. Data also shows that the lower lip is often affected.

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MIXED GLIAL CHORISTOMA OF TONGUE AND GASTRO-INTESTINAL HETEROTOPIA OF ORAL CAVITY IN A NEWBORN WITH CLEFT PALATE

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2014/2659 ◽

2014 ◽

Vol 3 (21) ◽

pp. 5748-5752 ◽

Cited By ~ 1

Author(s):

Pratap Rao S ◽

Jyothsna B ◽

Sana Salim Khan ◽

Sravanthi M ◽

Prasad C N

Keyword(s):

Oral Cavity ◽

Cleft Palate

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Prevalence of Oral Mucosal Lesions in a Tertiary Care Dental Hospital of Kathmandu

Journal of Nepal Medical Association ◽

10.31729/jnma.3283 ◽

2017 ◽

Vol 56 (207) ◽

pp. 362-366

Author(s):

Dipshikha Bajracharya ◽

Sujaya Gupta ◽

Bidhata Ojha ◽

Radha Baral

Keyword(s):

Squamous Cell Carcinoma ◽

Retrospective Study ◽

Oral Cavity ◽

Cell Carcinoma ◽

Oral Mucosa ◽

Buccal Mucosa ◽

Tertiary Care ◽

Oral Mucosal Lesions ◽

Dental Hospital ◽

Mucosal Lesions

Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). Conclusions: The present study shows benign as well as the non neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence. Keywords: Benign; Malignant; Non neoplastic; Oral mucosal lesion.

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Onset of the acquired potentiality for fusion in the palatal shelves of rats

Development ◽

10.1242/dev.16.1.171 ◽

1966 ◽

Vol 16 (1) ◽

pp. 171-182

Author(s):

M. Pourtois

Keyword(s):

Oral Cavity ◽

Cleft Palate ◽

Horizontal Plane ◽

Horizontal Position ◽

Palate Development

This paper is concerned with that phase of palate development in rats leading to fusion of the shelves in the midline. Previous experimentation in palate development in mammals has encompassed both the earlier phase of assumption of the horizontal position of the palatal shelves, and the subsequent approximation and fusion of the shelves. Since the two processes do not occur simultaneously and can theoretically be studied separately, it was possible and feasible to confine the experiment to the later fusion phase. The present research was designed to eliminate the possible confounding effects of palate rotation in vitro on the fusion of the shelves by approximation of the explanted palatal shelves in the same horizontal plane, irrespective of their original positions in the oral cavity. Current theories of cleft palate pathogenesis hold that either the palatal shelves fail to assume (rotate to) the horizontal position, or, that having done so, they fail to fuse.

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The Nature of Nasal Fricatives: Articulatory-Perceptual Characteristics and Etiologic Considerations

Perspectives on Speech Science and Orofacial Disorders ◽

10.1044/ssod25.1.17 ◽

2015 ◽

Vol 25 (1) ◽

pp. 17-28 ◽

Cited By ~ 3

Author(s):

David J. Zajac

Keyword(s):

Oral Cavity ◽

Cleft Palate ◽

Theoretical Framework ◽

Nasal Airflow ◽

Turbulent Airflow ◽

Perceptual Characteristics

Nasal fricatives (NFs) are unusual, maladaptive articulations used by children both with and without palatal anomalies to replace oral fricatives. Nasal fricatives vary in articulatory, aerodynamic, and acoustic-perceptual characteristics with two generally distinct types recognized. One type is produced with velopharyngeal (VP) constriction that results in turbulent nasal airflow and, frequently, tissue vibration (flutter) at the VP port. Trost (1981) described these as posterior NFs that have a distinctive snorting quality. A second type of NF is produced without significant VP constriction resulting in turbulent airflow generated at the anterior liminal valve of the nose. Of importance, both types are “active” alternative articulations in that the speaker occludes the oral cavity to direct all airflow through the nose (Harding & Grunwell, 1998). It is this oral gesture that differentiates NFs from obligatory (or passive) nasal air escape that may sound similar due to incomplete VP closure. The purpose of this article is to (1) describe the articulatory, aerodynamic, and acoustic-perceptual nature of NFs, and (2) propose a theoretical framework for the acquisition of NFs by children both with and without cleft palate.

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Speech and Resonance Disorders Related to Cleft Palate and Velopharyngeal Dysfunction: A Guide to Evaluation and Treatment

Perspectives on School-Based Issues ◽

10.1044/sbi15.2.57 ◽

2014 ◽

Vol 15 (2) ◽

pp. 57-74 ◽

Cited By ~ 7

Author(s):

Ann W. Kummer

Keyword(s):

Oral Cavity ◽

Cleft Palate ◽

Speech Therapy ◽

Surgical Intervention ◽

Speech Language Pathologists ◽

Practical Information ◽

Nasal Emission ◽

Structural Anomalies

Children with speech and/or resonance disorders due to structural anomalies present challenges for speech-language pathologists in all settings. The purpose of this article is to provide current, practical information regarding the evaluation and treatment of children with speech/resonance disorders secondary to cleft palate and noncleft causes of velopharyngeal dysfunction. Simple “no-tech” procedures for assessment will be described so that the reader will be able to determine which children will benefit from therapy and which will require surgical intervention. Finally, specific speech therapy techniques will be given for changing placement from the pharynx to the oral cavity, thus eliminating phoneme-specific nasal emission.

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