An adult patient was sent to me for Orofacial Myology treatment. She has grade 3 tonsils but can and does breathe comfortably through her nose. Should I see her for treatment?
At first, my mind ran to the fact that airway is the major consideration and since she can adequately nose breathe and does so, we can and should begin treatment. Then another thought entered my mind: what if the tonsils themselves cause her to have a forward lingual resting posture? AHA! Now we have to think about more than just the airway. If you completed the thorough oral examination, then you have a good idea about what symptoms she has and if they are related to other structural or functional difficulties. I would have to know your findings for the exam in order to give you more definitive suggestions. It sounds from the limited information I have, that she would be a candidate for treatment with a watchful eye to assure that you are not asking her at any point in treatment to perform an exercise or activity that is impossible for any reason. I will be happy to review her examination if you wish and if she gives permission for me to do so.
3 year old who’s SLP diagnosed child with apraxia and is a mouth breather
What do I need to correct or review, when a patient has difficulty moving forward in treatment after the slurps followed by swallowing? Do I have to work more with the middle and the back of the tongue? Do you have any suggestion?
I evaluated a two year old girl today who already has overjet and an anterior open bite with a high palate due to her thumb sucking. Would you use your program with a child this young?
Is it acceptable to teach a client about tongue to spot even if he’s wearing a retainer he can take out?
Is it acceptable to teach a client about tongue to spot even if he’s wearing a retainer he can take out? I sent him home to do TTS exercises without wearing his retainer, but if he wears a retainer most of the day will that have a negative effect?
…few very simple exercises that an older three year old could do just to get used to having a clear airway and a tongue that finally doesn’t have to hang down or forward or out in order to try to increase airway space.
…we had the choice of two different mouth props, depending upon the client’s needs.
I think that 3 days post frenectomy should be the maximum amount of time to wait to initiate treatment under most circumstances.
My student went 9 consecutive days, and the night before his 10th, he didn’t wear “sockie” because he didn’t think he needed it anymore. Needless to say, he put his hand in his mouth during the night.
The problem with ENT assessments of airway interference is that most of the time, the physician looks at the anatomy and then presumes about the functions involved.