Upton, L.G. & Berger, M.K. (1995). Use of pharyngoplasty to improve
resonance in adult closed-head injury patients: Report of cases. Journal
of Oral and Maxillofacial Surgery, 53, 717-719.
Type
of
Study |
Case studies |
| Subjects |
1 male; age 26;
6 months post-injury
1 male; age 34; 5 years 4 months post-injury |
| Diagnoses |
TBI |
Speech
Condition |
26 year old-flaccid-ataxic mixed dysarthria,
moderate-severe hypernasality, consistent bilateral nasal emission, altered
prosody, monotonicity, decreased rate, dysrhythmia, mild articulation distortions,
mildly hoarse, decreased respiratory support for speech
34 year old-dysarthria, cognitive-communication
deficits |
| Purpose |
To determine benefits of surgical intervention
to treat hypernasality in TBI in two patients who did not like palatal
lifts |
| Methods |
Pharyngeal flap surgery |
| Results |
Velopharyngeal competence improved in
both subjects
34 year old still had mild hypernasality
and hyponasality
Both subjects preferred the pharyngeal
flap to palatal lifts |
Treatment
Implications |
Pharyngeal flaps should be considered
for TBI patients, particularly if patients do not want to rely on palatal
lifts |
| |
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