Surgical reconstruction versus prosthetic obturation of extensive soft palate defects: A comparison of speech outcomes

International Journal of Prosthodontics

Volumn 22, Issue 6, 2009, Pages 566-572

  Rieger, Jana ^a,b   Bohle, George ^c   Huryn, Joseph ^c   Tang, Judith Lam ^a,b   Harris, Jeffrey ^a   Seikaly, Hadi ^a,d  

^a UNIVERSITY OF ALBERTA   (Canada)

^b Misericordia Community Hospital   (Canada)

^c MEMORIAL SLOAN KETTERING CANCER CENTER   (United States)

^d UNIVERSITY OF ALBERTA HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMPARATIVE STUDY; DYSPHONIA; EVALUATION; FEMALE; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; ORAL SURGERY; OROPHARYNX TUMOR; PALATE; PALATOPHARYNGEAL INCOMPETENCE; PLASTIC SURGERY; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; SOFT PALATE; SPEECH INTELLIGIBILITY; TOOTH PROSTHESIS;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MIDDLE AGED; ORAL SURGICAL PROCEDURES; OROPHARYNGEAL NEOPLASMS; PALATAL MUSCLES; PALATAL OBTURATORS; PALATE, SOFT; PROSPECTIVE STUDIES; RECONSTRUCTIVE SURGICAL PROCEDURES; RETROSPECTIVE STUDIES; SPEECH INTELLIGIBILITY; SURGICAL FLAPS; VELOPHARYNGEAL INSUFFICIENCY; VOICE DISORDERS;

EID: 77449153826     PISSN: 08932174     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. Seikaly H, Rieger JM, Zalmanowitz JG, et al. Functional soft palate reconstruction: A comprehensive surgical approach. Head Neck 2008;30: 1615-1623.
2. Brown JS, Zuydam AC, Jones DC, Rogers SN, Vaughan ED. Functional outcome in soft palate reconstruction using a radial forearm free flap in conjunction with a superiorly based pharyngeal flap. Head Neck 1997;19: 524-534.
3. Moerman M, Vermeersch H, Van Lierde K, Fahimi H, Van Cauwenberge P. Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results. Head Neck 2003;25: 772-777.
4. Sinha UK, Young P, Hurvitz K, Crockett DM. Functional outcomes following palatal reconstruction with a folded radial forearm free flap. Ear Nose Throat J 2004;83: 45-48.
5. Hashikawa K, Tahara S, Terashi H, et al. Positive narrowing pharyngoplasty with forearm flap for functional restoration after extensive soft palate resection. Plas Reconstr Surg 2005;115: 388-393.
6. McCombe D, Lyons B, Winkler R, Morrison W. Speech and swallowing following radial forearm flap reconstruction of major soft palate defects. Br J Plast Surg 2005;58: 306-311.
7. Zohar Y, Buler N, Shvilli Y, Sabo R. Reconstruction of the soft palate by uvulopalatal flap. Laryngoscope 1998;108: 47-50.
8. Zeitels SM, Kim J. Soft-palate reconstruction with a "SCARF" superior- constrictor advancement-rotation flap. Laryngoscope 1998;108: 1136-1140
9. Gillespie MB, Eisele DW. The uvulopalatal flap for reconstruction of the soft palate. Laryngoscope 2000;110: 612-615.
10. Bohle G, Rieger J, Huryn J, Verbel D, Hwang F, Zlotolow I. Efficacy of speech aid prostheses for acquired defects of the soft palate and velopharyngeal inadequacy-Clinical assessments and cephalometric analysis: A Memorial Sloan-Kettering Study. Head Neck 2005;27: 195-207.
11. Rieger JM, Zalmanowitz JG, Li SY, et al. Speech outcomes after soft palate reconstruction with the soft palate insufficiency repair procedure. Head Neck 2008;30: 1439-1444.
12. Yorkston K, Beukelman D. Assessment of Intelligibility of Dysarthric Speech. Portland, Oregon: CC Publications, 1981.
13. Fletcher SG. Contingencies for bioelectronic modification of nasality. J Speech Hear Disord 1972;37: 329-346
14. Warren DW, Dubois AB. A pressure-flow technique for measuring velopharyngeal orifice area during continuous speech. Cleft Palate J 1964;16: 52-71.
15. Strong MJ, Grace GM, Orange JB, Leeper HA, Menon RS, Aere C. A prospective study of cognitive impairment in ALS. Neurology 1999;53: 1665-1670.
16. Yoshida H, Michi K, Yamashita Y, Ohno K. A comparison of surgical and prosthetic treatment for speech disorders attributable to surgically acquired soft palate defects. J Oral Maxillofac Surg 1993;51: 361-365.
17. Kipfmueller LJ, Lang BR. Presurgical maxillary prosthesis: An analysis of speech intelligibility. J Prosthet Dent 1972;28: 620-625.
18. Rieger J, Wolfaardt J, Seikaly H, Jha N. Speech outcomes in patients rehabilitated with maxillary obturator prostheses after maxillectomy: A prospective study. Int J Prosthodont 2002;15: 139-144.
19. Seikaly H, Rieger J, Wolfaardt J, Moysa G, Harris J, Jha N. Functional outcomes after primary oropharyngeal cancer resection and reconstruction with the radial forearm free flap. Laryngoscope 2003;113: 897-904.
20. Genden EM, Okay D, Stepp MT, et al. Comparison of functional and quality-of-life outcomes in patients with and without palatomaxillary reconstruction: A preliminary report. Arch Otolaryngol Head Neck Surg 2003;129: 775-780.