Download Anatomy and Aberrations of the Oral Cavity: Hard Palate, Velum, Uvula, Tongue, and Tonsils and more Quizzes Speech-Language Pathology in PDF only on Docsity!
Hard Palate: Landmarks
alveolar ridge, rugae (ridges), palatal arch (too shallow or too high and narrow), median raphe TERM 2
Hard Palate: Aberrations
DEFINITION 2 holes, clefts, fistula, discoloration, shadows TERM 3
Cathedral
Arch
DEFINITION 3 high arch, looks like it goes on for awhile. results in problems with sibilants and creating airstream TERM 4
Shallow
Arch
DEFINITION 4 Someone with this type of arch will not have enough room for the tongue and will have problems with sibilants. TERM 5
Cleft
DEFINITION 5 Two structures didn't meet or come together.
Fistuli
Tiny hole, like a thumb tack or a duck's nostril; usually sub- clinical TERM 7
Hard Palate: how to test for a sub-mucous
cleft
DEFINITION 7 (use your gloves) take a small piece of gauze and wrap it around the tip of your non-dominant ring finger. Lightly palpate the part of the palpate you know is boney, then lightly palpate the shadow and compare. If in doubt, don't touch. If there is any chance, refer. SLP's don't diagnose, refer to an ENT. TERM 8
Velum and Uvula: landmarks and boundaries
DEFINITION 8 velum, uvula, faucial pillar, tonsils TERM 9
Velum: aberrations
DEFINITION 9 holes, clefts, fistuli, discoloration, shadows, asymmetry TERM 10
Faucial Pillars
DEFINITION 10 Landmarks: anterior tot he pharyngeal wall and tonsils and inferior to the lateral inferior extension of the velum.
Checking for Ankyloglossia (Tongue-Tied)
open mouth, lift tongue, examine frenum. length should allow tongue to reach alveolar ridge, mouth slightly open. TERM 17
Signs of Tongue Thrust
DEFINITION 17 interdental lips, forward tongue carriage, open bite, aka reverse swallow or immature swallow TERM 18
Testing for Tongue Thrust
DEFINITION 18 you will need: glass of water, latex-free gloves. instruct the person to take a drink and hold lips apart and during the swallow TERM 19
Tongue Thrust Indicators
DEFINITION 19 strong labial seal during swallow and tongue presses on incisors during swallow. TERM 20
Velo-Pharyngeal
Competence
DEFINITION 20 say "ah." concern if resonance problem: watch uvula, velum and uvula move up and back symmetrically, if no noticeable movement, try staccato "ah" "ah" "ah"
Vowel Sustenation
need: stopwatch. have client take a deep breath (as much air as possible), say "start" and have client say "ah." Have them hold it until they run out of air. 10 second minimum TERM 22
Verbal Diadochokinetic Rate
DEFINITION 22 Looking for rapid alternating movements ("puh" "tuh" "kuh" then "puhtuhkuh"). The goal is to have the client say the syllables repeatedly as rapidly as possible, stressing each syllable equally. the result is the syllable rate per second. The normative data down to age 6. Also observe: programming, planning, sequencing (don't vary stress or use other words) TERM 23
Gag Reflex
DEFINITION 23 Exercise extreme caution!!! Ask: do you gag easily? (yes: slow down; no: continue with caution), show cotton swab (proceed with caution). At first sign of reflex: stop! open mouth (no gag: approach open mouth; no gag: touch tongue (back) gently); no gag: approach uvula (use caution). First sign of reflex - stop and retreat.
