Nasal Obturation for Severe, Chronic Velopharyngeal Dysfunction of Dysarthria

M Hakel, D Beukelman, S Fager, J Marshall


The presentation documents the construction of nasal obturators for an individual with severe, chronic velopharyngeal dysfunction due to neurogenic impairments. This individuals could not be fitted with palatal lift or obturator. Nasal obturation allowed the speaker to achieve increased intra-oral air pressure levels for conversational speech and improve plosive and fricative production. The process for fabrication and fitting for the nasal obturators as well as speech outcome measures will be highlighted.