PROSTHETIC REHABILITATION OF A PATIENT WITH VELOPHARYNGEAL DYSFUNCTION: A CASE REPORT

Abstract

Velopharyngeal dysfunction (VPD) is a condition characterized by anatomical and/or functional alterations in the synchrony between the soft palate and the pharyngeal walls, affecting the balance of oronasal speech resonance. The aim of this study was to report on the process of making a pharyngeal obturator to correct velopharyngeal insufficiency in a cleft lip and palate child. The treatment proved to be effective in improving speech and eating functions, as well as contributing to the patient's self-esteem and social inclusion. The pharyngeal obturator, combined with speech therapy, represented an important therapeutic alternative for this case, as it offered an effective and safe solution to the patient's anatomical and clinical limitations. In addition, speech therapy played a fundamental role in correcting compensatory joints and progressively adapting to the use of the prosthesis, boosting treatment results. The study also helped to create a specific care protocol for the Craniofacial Anomaly Care and Research Center at the Western Paraná State Hospital (CEAPAC-HUOP).