A 4-year-old girl, who showed velopharyngeal (VP) incompetence associated with bilateral striatal necrosis, received speech therapy with a palatal lift prosthesis (PLP). CDVP function was improved three months after insertion of the PLP, normal articulation and an increase in speech intelligibility were obtained. RImproved velopharyngeal efficiency was maintained, and the PLP was removed two years and five months later. RAfter practice at setting the normal tongue position at rest to improve oral dysfunctions of speech, chewing, swallowing, and tongue movement, she recognized that she was able to close her lips and produce normal speech.
