title: Alleviating speech and deglutition: Role of a prosthodontist in multidisciplinary management of velopharyngeal insufficiency.
abstract: Surgical resection of soft palate due to cancer affects the effective functioning of the velopharyngeal mechanism (speech and deglutition). With the loss of speech intelligibility, hyper resonance in voice and impaired function of swallowing (due to nasal regurgitation), there is a depreciation in the quality of life of such an individual. In a multidisciplinary setup, the role of a prosthodontist has been described to rehabilitate such patients by fabrication of speech aid prosthesis. The design and method of fabrication of the prosthesis are simple and easy to perform. The use of prosthesis, together with training (of speech) by a speech pathologist resulted in improvement in speech. Furthermore, an improvement in swallowing had been noted, resulting in an improved nutritional intake and general well-being of an individual. The take-home message is that in the treatment of oral cancer, feasible, and rapid rehabilitation should be endeavored in order to make the patient socially more acceptable. The onus lies on the prosthodontist to practise the same in a rapid manner before the moral of the patient becomes low due to the associated stigma of cancer.
authors.affiliation: Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
authors.forename: Aditi
authors.initials: A
authors.lastname: Nanda
authors.affiliation: Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
authors.forename: Dheeraj
authors.initials: D
authors.lastname: Koli
authors.affiliation: Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
authors.forename: Sunanda
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
authors.forename: Shalini
authors.initials: S
authors.lastname: Suryavanshi
authors.affiliation: Department of Prosthodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Verma
keywords: Multidisciplinary; oncology; prosthodontist; speech aid; velopharyngeal defect