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Effects of Behavioural and Prosthetic Management in a Case with Ankyloglossia and High Arched Palate: Pre and Post Operative Comparison - synergy - synergy

Effects of Behavioural and Prosthetic Management in a Case with Ankyloglossia and High Arched Palate: Pre and Post Operative Comparison (Pages 45-51)

 
Kamalika Chowdhury, Nirnay Kumar Keshree and Tripti Sharma
Department of Speech & Hearing, Sri Aurobindo Institute of Medical Sciences (SAIMS), Indore Ujjain State Highway, Near MR 10 Crossing, MP, Indore, 453555, India
 

DOI: http://dx.doi.org/10.12970/2311-1917.2015.03.02.1

Abstract: Purpose: This single subject research design across multiple treatments was aimed towards determining the efficacy of behavioral and prosthetic management in congenital ankyloglossia class IV and high arched palate; pre and post lingual frenectomy.

Method: The study was conducted over four phases: two pre operative and two post operative. The first phase was started with behavioral management solely followed by the second phase, where a combination of behavioral and prosthetic management simultaneously, was tried out.

The participant then underwent lingual frenectomy. Post operatively, the third phase was initiated with a combinatorial use of behavioral and prosthetic management. However noticing the simultaneous improvement in the range of motion of tongue, a fourth trial phase was conducted, by seizing the prosthetic management and continuing only with the behavioral management.

Results: The first two pre operative trial phases resulted in an insignificant shift in percentage of correct consonants (PCC) from 68.59% to 70.93%. However the post operative phases yielded interesting results. Although in the third phase the PCC shifted to 72.7%, but a remarkable improvement was visible in the fourth phase of the study, as the PCC shifted to 84.57%.

Conclusion: The results highlighted that in such classical cases, professionals should shed their dilemma of whether to clip the tie or not? This decision will actually help in reducing the unnecessary clinical trials along with better prognosis of client’s speech.

Keywords: Ankyloglossia, High-arched Palate, Frenectomy, Behavioral Management, Prosthetic Management. Read more →