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PHARYNGEAL MUSCULATURE:
describe the soft palate
- is a combo of muscle, aponeurosis, nerves and blood supply
- covered by a mucous membrane lining
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PHARYNGEAL MUSCULATURE:
describe the palatal aponeurosis
- makes up the mid front portion of the soft palate
- is an extension of the aponeurosis arising from the tensor veli palatine
- divides around the musculus uvulae muscle and it serves as the point of insertion for other muscles of the soft palate
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PHARYNGEAL MUSCULATURE:
what happens when we swallow
the soft palate is elevated, closing off naso and oropharynx
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PHARYNGEAL MUSCULATURE:
what happens to the soft palate for most speech
the uvula is up with the exception of m, n and ng
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PHARYNGEAL MUSCULATURE:
Velopharyngeal closure
- the vp for speech production is not an all or nothing proposition
- we designate sounds as nasal and nonnasal
- the velum is a relatively slow and sluggish articulator
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PHARYNGEAL MUSCULATURE:
swallowing requires that the velopharyngeal closure be...
- 1. rapid
- 2. occur high in the pharynx
- 3. form a complete seal with the posterior pharyngeal wall
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PHARYNGEAL MUSCULATURE:
how do the levator veli palatini and musculus uvulae work together to achieve velar elevation
- 1. first anteriorly, then rapidly back toward the posterior wall of the pharynx at the oro nasopharynx junction
- 2. medial movement of the lateral pharyngeal walls
- 3. forward displacement of the posterior oropharyngeal wall
closure is maintained for 1/2-1 second
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PHARYNGEAL MUSCULATURE:
muscles of the pharynx are closely associated with the muscles of...
- the tongue
- muscles of the face
- muscles of the larynx
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PHARYNGEAL MUSCULATURE:
which constrictor is important for velopharyngeal function
- the superior constrictor
- when constricted the pharyngela muscles constrict the pharynx to assist in deglutition
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MASTICATION AND DEGLUTITION:
mastication
- the process of preparing food for swallowing
- moving unchewed food onto the grinding surface of the teeth
- chewing it
- mixing it with saliva in prep for swallowing
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MASTICATION AND DEGLUTITION:
deglutition
the process of swallowing
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MASTICATION AND DEGLUTITION:
what do mastication and deglutition require
- integration of lingual, velar, pharyngeal and facial muscle movement with laryngeal adjustments and
- respiratory control
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MASTICATION AND DEGLUTITION:
during mastication and deglutition, all muscles inserting into the ------------- may participate in...
- orbicularis oris
- opening
- closing
- pursing
- retracting the lips as food is received
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MASTICATION AND DEGLUTITION:
what muscles are involved in moving food into position for chewing and prep bolus for swallow
intrinsic and extrinsic tongue muscles
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MASTICATION AND DEGLUTITION:
what do velar elevators do
seal off the nasal cavity to prevent nasal regurgitation
levator veli palatini, musculus uvulae
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MASTICATION AND DEGLUTITION:
how many muscles are involved mastication and deglutition
55 muscles plus of the cranial and spinal nerves that innervate them
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MASTICATION AND DEGLUTITION:
bolus
a ball of food or drink
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MASTICATION AND DEGLUTITION:
perioral
mouth region
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MASTICATION AND DEGLUTITION:
css
chewing, sucking, swallowing
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MASTICATION AND DEGLUTITION:
gustation
sense of taste
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MASTICATION AND DEGLUTITION:
olfaction
sense of smell
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MASTICATION AND DEGLUTITION:
salivation
- production and release of saliva into the oral cavity
- important for taste, masti, and deglu
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MASTICATION AND DEGLUTITION:
reflexes involved in swallowing
- chewing reflex
- cough reflex
- gag (pharyngeal) reflex
- pain reflex
- respiration refelx
- retch and vomit reflex
- rooting and sucking reflex
- tongue retract and elevate reflex
- uvular or palatal reflex
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MASTICATION AND DEGLUTITION:
the four stages of swallowing
- 1. oral prep stage-prep food for the swallow
- 2. oral stage-oral transit of bolus to pharynx
- 3. pharyngeal stage-transit of bolus to esophagus
- 4. esophageal stage-food is transported from ues to stomach
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MASTICATION AND DEGLUTITION:
oral prep stage
- begins outside the mouth with all senses
- put food in mouth
- tightly occlude lips to seal anterior opening
- must breathe through nose so tongue bunches in the back and soft palate pulled down to keep food in oral cavity
- tongue cups
- food is ground up by mastication and lingual muscles
- tongue keeps food in oral cavity sealing alveolar ridge
- tongue holds food in place partially crushing food
- tongue then begins moving the food onto grinding surface of teeth, pull food back to mix with saliva and then moves food forward again for more chewing
- salivary glands secrete saliva to form bolus
- facial muscles of buccal contract to keep from entering the lateral sulcus
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MASTICATION AND DEGLUTITION:
oral stage
- new sequence begins when bolus of food is finally ready to swallow
- tongue base is elevated in the posterior during mastication now drops and pulls posteriorly
- mastication stops
- anterior tongue elevates to hard palate
- squeeze bolus back toward faucial pillars
- contact with faucial pillars, soft palate, posterior tongue base triggers reflexes
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MASTICATION AND DEGLUTITION:
pharyngeal stage
- new sequence begins with elevation of the soft palate which has been depressed, oro is now separated from naso
- respiration ceases reflexively at this point
- velum elevated, tongue retracted, lips sealed
- food entering the pharynx so AIRWAY MUST BE PROTECTED
- vocal folds tightly adduct
- false vf constrict
- epiglottis is depressed via the aryepiglottic muscles
- airway sealed, larynx moves up and forward as a unit
- epiglottis covers the laryngeal aditus AND cricopharyngeus muscle of inferior constrictor relaxes
- relaxing sphincter gives food a place to go
- food propelled down pharynx toward the esophagus by means of constriction of the superior, middle and inferior pharyngeal constrictors
- bolus gets to laryngopharynx and passes epigottis
- bolus divides into two, passes either side of larynx through pyriform sinuses and then recombines at entrance of the esophagus
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MASTICATION AND DEGLUTITION:
esophageal stage
- purely reflexive, not under voluntary control
- begins when bolus reaches the orifice of the esophagus, enters UES for transit to stomach
- bolus moves through the esophagus to the LES via peristaltic contractions and gravity
- cricopharyngeus will contract
- larynx and soft palate will be depressed
- respiration will begin again
- normal swallow, respiration is suspended for a second
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MASTICATION AND DEGLUTITION:
sensation
associated with mastication and deglutition
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MASTICATION AND DEGLUTITION:
gustation
- complex and critical component of CSS
- taste drive the desire to continue eating which fulfills nutritional requirements of the body
- taste receptors consist of chemorecepters respond to chemicals
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MASTICATION AND DEGLUTITION:
5 basic tastes
- sweet
- salty
- sour
- bitter
- umami
tastes can be sensed all over the tongue
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MASTICATION AND DEGLUTITION:
olfaction
- smell plays vital role in appetites and taste
- if your nose is plugged food tastes flat
- olfactory sensors in the epithelial lining of the upper posterior nasal cavity
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MASTICATION AND DEGLUTITION:
tactile
sense of touch mediated by mechanoreceptors-sensitive to physical contact
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MASTICATION AND DEGLUTITION:
salivation response
- related to taste, smell and noxious stimulation
- the production and release of saliva into the oral cavity (not sensory but motor)
- essential component of taste, mastication and deglutition
- produced in parotid, submandibular and sublingual glands
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ARTICULATION AND RESONATION:
Lips
what is the main objective of obicularis oris
obicularis oris primarily responsible for ensuring a labial seal but other muscles insert into it
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ARTICULATION AND RESONATION:
Lips
which lip achieves greater velocity and force
- lower lip and seems to most of the work in the lip closure, also faster and stronger than the upper lip
- extra force comes from the mentalis
- lower lip attached to mandible which is a moveable articulator
- lower lip can rapidly alter its rate of closure to accommodate variety of jaw positions
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ARTICULATION AND RESONATION:
Lips
we are "amazingly resistant" to...
interference with the articulatory mechanism
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ARTICULATION AND RESONATION:
Mandible
what does the mandible do
- assists the lips
- changes position for tongue movement
- helps achieve a tight lip seal
- very important articulator-supports the action/role of the lips, tongues and teeth in touching articulation targets in the maxilla like the teeth, alveolar ridges and hard palate
- paralysis of muscles of mastication can be devastating to speech intelligibility
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ARTICULATION AND RESONATION:
Mandible
the function of the muscles of _________ is different for _______ and _________.
mastication, speech, chewing
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ARTICULATION AND RESONATION:
Tongue
what is so special about the tongue
- most important of the articulators
- involved in the production of the majority of phonemes in English
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ARTICULATION AND RESONATION:
Tongue
tip elevation
- primary responsibilty of the superior longitudinal musclesÂ
- when fibers shortened the tip and lateral margins of tongue pull up
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ARTICULATION AND RESONATION:
Tongue
tip depression
- primarily inferior longitudinalÂ
- course along the lateral margins of the lower tongue making them perfectly suited to pull the tip and sides of the tongue down
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ARTICULATION AND RESONATION:
Tongue
tip deviation, left and right
- deviation of the tongue tip to the left requires the simultaneous contraction of the left superior and inferior longitudinal muscles
- asymmetrical contraction results in asymmetrical movement of the tongue tip
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ARTICULATION AND RESONATION:
Tongue
lateral margins relax
lateral margins must be relaxed to produce the /l/ while tongue is protruded into the anterior alveolar ridge and slightly elevated
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ARTICULATION AND RESONATION:
Tongue
narrowing
transverse fibers coursing from the median fibrous septum to the lateral margins
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ARTICULATION AND RESONATION:
Tongue
central tongue grooving
genioglossus and vertical muscles
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ARTICULATION AND RESONATION:
Tongue
tongue protrusion
posterior genioglossus, vertical, and transverse muscles
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ARTICULATION AND RESONATION:
Tongue
tongue retraction
anterior genioglossus, superior and inferior longitudinal muscles
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ARTICULATION AND RESONATION:
Tongue
posterior tongue elevation
palatoglossus muscles and transverse
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ARTICULATION AND RESONATION:
Tongue
tongue body depression
contraction of the entire genioglossus
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