Wednesday, 21 September 2016
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?
Tuesday, 30 June 2015
We look at several things here. First of all, look at where the frenum inserts into the floor of the mouth. Is it on or right below the lower alveolar ridge? Or is it fairly far back on the floor? Also, look where the frenum inserts into the tongue itself. Is it about midway or is it closer to the tip? Or is it far down at the base of the tongue?
Wednesday, 15 April 2015
I just screened a new resident post CVA with noted aphasia in her record and some dysarthria. On exam, her tongue had a fairly significant fissure at midline. Any recommendations for healing?
Monday, 15 December 2014
"Because you know Phase One, most especially proficiency exam #1, you can build a decent foundation for a patient and then, even if they move or you move, they have the most important basic skills.
Sunday, 30 November 2014
Hi Sandra, So glad that you were able to meet with my patient. I have been perplexed about him. His OM issues seem to be compounded by his difficulty with nasal breathing (polyps), poor motor planning, and weak sensation around his lips and tongue. For sure…at the very least! My basic results from exam: 1.
Saturday, 15 November 2014
I recommended a lingual frenectomy, which was done last week. She is coming back to therapy Wednesday, and I was wondering if there are specific exercises that should be done post-frenectomy to avoid scar tissue from forming.
Thursday, 30 October 2014
A nice "flow" of conversation will help to embed that "h" sound within words and phrases rather than just saying it at the beginning.
Monday, 15 September 2014
Sometimes a frenum is not short but is still restrictive because of the attachment location on the tongue or onto the lower alveolar ridge.
Saturday, 30 August 2014
He presents with decreased lingual movement but does not have an obvious anterior tongue tie. He is unable to stick out his tongue without it resting on his teeth and he cannot click his tongue without moving also moving his jaw. I am really at a loss for how to help him.