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____ assessment (_____) should always precede instrumental assessment?
Clinical (orofacial and speech)
The outcome of the clinical assessment determines? (3)
The need for an instrumental assessment
The type of instrumental study
Questions to be answered by the study
Direct observatoin instrumental assessment is the most clinically useful approach and includes? (2)
Videonasendoscopy [sphincteric/superior view]
Videofluoroscopy [multiple views]
Direct observation assessment should always preced _____ surgical management when possible?
The goal of any orofacial exam in speech pathology is to identify _____, _____, and ____ or problems that may explain _____?
structural, oral motor and oral sensory deviations
the presenting speech disorder or complaint.
Scarring on lips can have an effect on?
mobility for rounding, spreading, compressing and everting the lips.
______:This refers to how the lips meet one another?
Anterior-posterior relationship of lips
_____: Is there a collapsed naris/nostril, a depressed nasal tip, or other structural difference that is constricting the opening?
_____:This is evaluated by the ENT/otolaryngologist, but findings can have significance for speech?
Blocked nasal passages can ? by blocking? and can change?
mask cleft palate speech problems.
nasal air emission that would otherwise escape
resonance quality of speech, which would otherwise be hypernasal
So blocked passage (s) can mask?
CP closure problem and/or contribute to "mixed" resonance
Often children with cleft palate, especially ini, will have a deviated or bowed septum because of the asymmetric attachment of ?
vomer (one of two bones that make up the bony nasal septum)
Intraoral structures are:? (5)
- Hard Palate and alveolus
- Velum and uvula
Dental deviations refer to deviations in ?
Dental deviations include the following:?
- Missing teeth
- ectopic teeth
- supernumerary teeth
- rotated teeth
The _____ of missing teeth is important in considering the impact on speech articulation?
These are teeth in the wrong place
Supernumerary teeth are often _____ because there is not enough room for them in the dental arch?
____ are common on the transitional dentition?
___: protrusive premaxilla (with or without an Angle Class II malocclusion)
____: (with or without an Angle Class III malocclusion) this can be due to maxillary deficiency
also call a pseudo CL III malocclusion
____ are a hazard for speech and can occur anteriorly and laterally in the dental arch?
If the tongue does not fit an adequate introral space we tend to diagnose ____?
___: is the term for tongue-tie.
The ____ can be too short, attached too far anteriorly, attached with too broad an attachment to the inferior lingual surface, and combinations of these?
It is important to consider the impact of anyloglossia on both ?
range of movements and precision of the tongue (tip)
___: this is a condition where the tongue falls back into the airway?
Glossoptosis should be looked for in all babies who present with?
Also children who present with ? and presents with?
respiratory (upper airway) problems.
Robin sequence and articulatory backing pattern