Prosthetic approach of rehabilitating patients with velopharyngeal insufficiency

Yaser Natour, Bashar Al-Khamrah

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


The subject of this case study was a 43-year-old male with a hypernasality problem due to a right hemiparesis of the velum (soft palate) following a Cerebro-Vascular Accident (CVA). The patient was subjected to videofluoroscopic assessment of the soft palate and the posterior pharyngeal wall to detect and measure the existing gap causing hypernasality. The ultimate goal was to design a palatal lift to function as a static mechanical prosthesis. The existing gap was measured and a palatal lift was designed accordingly, then modified to achieve the best possible vocal resonance quality. Nasometric evaluation (measurement of the nasalance scores) was conducted pre and post palatal lift fitting. Perceptual judgment of the patient's vocal resonance quality was also conducted pre and post palatal lift fitting by three speech-language pathologists, one dentist and two MA. students of speech-language pathology. Post palatal lift results showed that Nasometric readings were within normal limits. Also, vocal resonance was checked and the patient achieved normal resonance. Optimal prosthetic management of the palato-pharyngeal port requires close interaction between a number of professionals (e.g.the dentist and speech pathologist and the x-ray specialist) in the use of videofluoroscopy for design, placement and modification of the prosthesis.

Original languageEnglish
Pages (from-to)181-188
Number of pages8
JournalDirasat: Human and Social Sciences
Issue number1
Publication statusPublished - Feb 2007
Externally publishedYes


  • Measured gap
  • Palatal lift
  • Prosthesis
  • Real gap
  • Velopharyngeal insufficiency

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science


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