무치악 연구개 결손 환자에서 총의치형 연구개 폐색장치를 제작한 증례
Prosthetic rehabilitation of soft palate resection edentulous patient with maxillary obturator
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초록
본 증례는 서울대학교 치과병원 치과보철과로 내원한 76세 남성 환자의 총의치 기능을 겸하는 연구개 폐색 장치의 제작에 관한 증례이다. 상환은 편도암으로 인해 연구개 및 편도 부위 절제 후 발음이 잘 되지 않고 음식물이 코로 넘어간다는 주소로 내원하였다. 제작과정에서 CT를 3차원으로 재구성하여 연구개 결손부위의 형태를 관찰하고, 비성도 검사와 비내시경 검사를 통해 발음 및 연하의 개선여부를 확인하였다. 환자는 발음과 저작 및 연하에 있어서 만족할만한 결과를 보여 본 증례를 보고하는 바이다.
Abstract
This report is a case of 76-year old male patient who had difficulty in swallowing, pronunciation and suffered regurgitation of food. The patient lacks uvula and both tonsils, had short palatoglossal arch and soft palate, as well as defective left palatopharyngeal arch. The height and width of the soft palate defect were measured by reconstructing the Computed Tomography (CT) image in three dimensions. Phonation and soft palate obstructing ability were examined by nasometry and nasal endoscopy. Evaluations on phonetics and swallowing were done and improvements were shown. The patient was satisfied with the results of treatment.
참고문헌 (9)
- Schneider E, "A survey of speech pathologists : current trends in the diagnosis and management of velopharyngeal insufficiency", Cleft Palate J, 17, pp.249~253 (1980)
- Warren DW, "A physiologic approach to cleft palate prosthesis", J Prosthet Dent, 15, pp.770~778 (1965)
- Desjardins RP, "Obturator prosthesis design for acquired maxillary defects", J Prosthet Dent, 39, pp.424~435 (1978)
- Veau V, "Division palatine: Anatomie-chirurgie phonétique", pp.568~ (1931), Masson et Cie
- Johns DF, "Velopharyngeal incompetence : a guide for clinical evaluation", Plast Reconstr Surg, 112, pp.1890~1897 (2003)
- Warren DW, "Perci: a method for rating palatal efficiency", Cleft Palate J, 16, pp.279~285 (1979)
- Neerja Raj, "Interim palatal lift prosthesis as a constituent of multidisciplinary approach in the treatment of velopharyngeal incompetence", The Journal of Advanced of Prosthodontics, 4(4), pp.243~247 (2012), 대한치과보철학회[DOI]
- Fletcher SG, "Quantitative and graphic analysis of prosthetic treatment for “nasalance” in speech", J Prosthet Dent, 32, pp.284~291 (1974)
- Marshall RC, "Effects of a palatal lift prosthesis upon the speech intelligibility of a dysarthric patient", J Prosthet Dent, 25, pp.327~333 (1971)