Palatopharyngeal insufficiency refers to soft palate defects where some or all of soft palate is deficient affecting palatopharyngeal closure. When surgical correction is not possible or failed, prosthetic rehabilitation by means of a speech-aid prosthesis or a speech bulb is the most desirable option to restore the function. In this case report, prosthetic rehabilitation of a pediatric patient with a hard and soft palate defect is described. Emphasis is given to the role of multidisciplinary approach in the management of cleft palate patients, clinical and laboratory procedures involving construction of a speech bulb prosthesis and the role of speech therapy for the improvement of overall outcome of the treatment.
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