Annals of Japan Prosthodontic Society
Online ISSN : 1883-6860
Print ISSN : 1883-4426
ISSN-L : 1883-4426
Case Reports (Specialist)
Improvement of swallowing and articulation by using a palatal augmentation prosthesis in a semi-total glossectomy patient
Yoshitomo Minagi
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JOURNAL FREE ACCESS

2020 Volume 12 Issue 2 Pages 180-183

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Abstract

Patient: A 39-year-old male patient underwent subtotal glossectomy, radical neck dissection on the right side, and reconstruction using a forearm flap under the clinical diagnosis of recurrent tongue carcinoma. The patient’s chief complaints were speech disorder and swallowing disorder due to the glossectomy and dissection. Tongue pressure production was evaluated before, during and after the fabrication of a palatal augmentation prosthesis (PAP) and mandibular partial denture with extended saddle.

Discussion: The PAP and mandibular partial denture with extended saddle improved speech intelligibility and swallowing ability.

Conclusion: For patients with severe disorder in tongue movement, speech intelligibility and swallowing ability can be improved by securing tongue-palate contact and optimizing the oral cavity volume.

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© 2020 Japan Prosthodontic Society
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