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Oropharyngeal Geometry of Maxilectomized Patients Rehabilitated with Palatal Obturators in the Trans-surgical Period: Repercussions on the Voice

  • Eliane Cristina Viana Revoredo
    Affiliations
    Graduate Program in Dentistry at the Federal University of Pernambuco, Health Sciences Center, Recife, Pernambuco, Brazil
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  • Adriana de Oliveira Camargo Gomes
    Correspondence
    Address correspondence and reprint requests to Adriana de Oliveira Camargo Gomes, Graduate Program in Human Communication Health at the Federal University of Pernambuco, Speech-Languague Pathology and Audiology Department, Health Sciences Center, Av. Prof. Artur de Sá, s/n – Cidade Universitária, Recife, Pernambuco, Brazil. CEP: 50670-420.
    Affiliations
    Graduate Program in Human Communication Health at the Federal University of Pernambuco, Speech-Language Pathology and Audiology Department, Health Sciences Center, Recife, Pernambuco, Brazil
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  • Coeli Regina Carneiro Ximenes
    Affiliations
    Speech-Languague Pathology and Audiology Department at the Federal University of Pernambuco, Health Sciences Center, Recife, Pernambuco, Brazil
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  • Kelly Greyce Sukar Cavalcanti de Oliveira
    Affiliations
    Graduate Program in Human Communication Health at the Federal University of Pernambuco, Health Sciences Center, Recife, Pernambuco, Brazil
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  • Hilton Justino da Silva
    Affiliations
    Graduate Program in Human Communication Health at the Federal University of Pernambuco, Speech-Language Pathology and Audiology Department, Health Sciences Center, Recife, Pernambuco, Brazil
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  • Jair Carneiro Leão
    Affiliations
    Graduate Program in Dentistry at the Federal University of Pernambuco, Department of Clinical and Preventive Dentistry, Health Sciences Center, Recife, Pernambuco, Brazil
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      Summary

      Introduction

      Patients undergoing maxillectomies may present alterations in the stomatognathic functions involved in oral communication. Rehabilitative treatment should favor the rescue of these functions, through surgical flaps, obturator prostheses or both.

      Objectives

      The present study aims to present the impact of the use of the palatal obturator on the oropharyngeal geometry and on the voice of patients undergoing maxillectomies, after adaptation to trans-surgical palatine obturators (TPO).

      Methods

      Twelve patients treated at a Cancer Hospital, submitted to maxillectomy and rehabilitated during surgery were evaluated. The oropharyngeal geometry was measured by acoustic pharyngometry and the vocal parameters were evaluated through auditory-perceptual and acoustic analyses. The comparison between the results with and without TPO was analyzed using the Wilcoxon test and the correlation between oropharyngeal measurements and acoustic parameters using Spearman's correlation coefficient, all with a significance level of 5%.

      Results

      There was a decrease in the following oropharyngeal measurements with the use of TPO: length of the pharyngeal cavity and vocal tract, volume of the oral cavity, pharyngeal and vocal tract and area of ​​the oropharyngeal junction. There was no difference in the length of the oral cavity and in the glottic area between situations with and without TPO. In the vocal evaluation, changes in intelligibility and resonance were observed in the situation without TPO and, in only one case, mild hypernasality was detected in the situation with TPO.

      Conclusions

      It is concluded that the use of TPO brought the oropharyngeal measurements closer to normal values ​​and provided an improvement in speech intelligibility and vocal resonance in maxilectomized individuals.

      Key words

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