Abstract
The aim of the study was to evaluate the alterations in speech intelligibility in a cleft palate patient, before and after extending and modifying the palatal contour of the existing prosthesis using a correctable wax recording. An eight-year-old girl studying in second grade with a velopharyngeal defect using an obturator reported to the outpatient clinic complaining of lack in clarity of speech. The existing prosthesis was lacking a speech bulb hence it was decided to add the speech bulb to the existing prosthesis and evaluate the speech. Even after the use of speech bulb it was observed that she was unable to pronounce the vowels and words like shoe, vision, cheer, etc. clearly. Hence, a palatography was done using a correctable wax technique and the existing prosthesis was altered accordingly. Great improvement in speech, mastication, and velopharyngeal function was achieved after the palatography alteration of the existing prosthesis.
Highlights
Children with cleft palate often present with hypernasal speech, most commonly due to a structural deficiency of the velum
The aim of the study was to evaluate the alterations in speech intelligibility in a cleft palate patient, before and after extending and modifying the palatal contour of the existing prosthesis using a correctable wax recording
Mastication, and velopharyngeal function was achieved after the palatography alteration of the existing prosthesis
Summary
Children with cleft palate often present with hypernasal speech, most commonly due to a structural deficiency of the velum. Some reports indicate that 20% to 43% of these children will still have velopharyngeal insufficiency following surgical palatal repair, and as a result may continue to sound hypernasal [1]. Marker paint is used on the tongue or palate to evaluate the articulation and are called linguograms or palatograms, respectively. In this case report, palatography was done using the correctable wax technique and the existing prosthesis was altered . Palatography was done using the correctable wax technique and the existing prosthesis was altered The objective of this case report was to evaluate the alterations in speech intelligibility after extending the existing prosthesis to cover the soft tissue defect and modifying the palatal contour using the aforementioned technique
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