Lesson 4 Flashcards
articulation (speech definition)
process of bringing mobile and immobile articulators into contact to shape the sounds of speech
articulation (anatomy definition)
to connect or join together
resonation
the sound quality given to voiced sounds by the vocal tract
deglutition
swallowing
mastication
chewing
vocal tract
pharynx
nasal cavity
oral cavity
what are the articulators
mobile articulators
immobile articulators
mobile articulator
- lips
- tongue
- mandible
- soft palate (velum)
- pharynx
- cheeks
- fauces
immobile articulators
- alveolar ridge of maxillae
- hard palate (palatine processes of the maxilla and horizontal plates of the palatine bones)
- teeth
What are the bones of the face?
- mandible
- maxillae
- palatine bones
- nasal bones
- inferior nasal conchae
- vomer
- zygomatic
- lacrimal bones
- hyoid
mandible (face bone)
- condylar process
- coronoid process
- mandibular foramen
- corpus
- angle
- ramus
- alveolar part
condylar process (mandible)
articulates with temporal bone forming the temporomandibular joint
-TMJ:chronic inflammation of the temporomandibular joint
coronoid process (mandible)
point of attachment for temporalis muscle
mandibular foramen (mandible)
allows passage of inferior alveolar nerve
alveolar part (mandibular)
- ridge
- houses the teeth in dental alveoli (sacs)
maxillae (face bone)
- frontal process
- zygomatic process
- palatine process
- alveolar process
- premaxilla
- incisive foramen
- transverse palatine suture
- intermaxillary suture
- premaxillary suture
frontal process (maxillae)
articulates with frontal bone
zygomatic process (maxillae)
articulates with the zygomatic bone
palatine process (maxillae)
- forms the floor of the nasal cavity and the anterior 3/4 of the hard palate (roof of mouth)
- articulates with the palatine bones
alveolar process (maxillae)
houses teeth
premaxilla (maxillae)
anterior section of the maxillae
incisive foramen (maxillae)
-marks the connection of the premaxilla and both palatine processes
transverse palatine suture (maxillae)
-between palatine processes of the maxillae and horizontal plates of palatine bones
intermaxillary suture (maxillae)
between palatine processes
premaxillary suture (maxillae)
between palatine processes and premaxilla
palatine bones (face bone)
- horizontal plates
- makes up posterior 1/4 hard palate
Nasal bones (face bones)
small bones that form the bridge of the nose
inferior nasal conchae (face bone)
- small scroll like bones located on the lateral walls of the nasal cavity
- increases the surface area for warming and humidifying air
vomer (face bone)
-contributes to the formation of the nasal septum along with the perpendicular plate of the ethmoid bone and septal cartilage
zygomatic (face bone)
- frontal process
- temporal process
- maxillary process
frontal process (zygomatic)
articulates with the frontal bone
temporal process (zygomatic)
articulates with the temporal bone
maxillary process (zygomatic)
articulates with the maxilla
lacrimal bones (face bone)
- smallest facial bones
- contribute to the formation of the medial wall of the orbital cavity
what are the bones of the cranial skeleton?
- ethmoid
- sphenoid
- frontal
- parietal
- occipital
- temporal
ethmoid (cranial skeleton)
- crista galli
- cribriform plate
- superior nasal concha
- middle nasal concha
- perpendicular plate
crista galli (ethmoid)
extends superiorly into the cranial space
cribriform plate (ethmoid)
separates the cranial cavity from the nasal cavities and allows passage of olfactory nerves
superior nasal concha (ethmoid)
increases surface area to warm and humidify incoming air
middle nasal concha (ethmoid)
increases surface area to warm and humidify incoming air
perpendicular plate (ethmoid)
contributes to the structure of the nasal septum
sphenoid (cranial skeleton)
- great wings
- lesser wings
- hypophyseal fossa
- lateral pterygoid plates
- medial pterygoid plates
hypophyseal fossa (sphenoid)
- sella tursica
- houses the pituitary gland
lateral pterygoid plates (sphenoid)
-point of attachment for muscles of mastication
medial pterygoid plates (sphenoid)
-point of attachment for muscles of mastication
frontal (cranial skeleton)
- supraorbital margin
- zygomatic process
supraorbital margin (frontal)
contributes to the orbital cavity
zygomatic process (Frontal)
articulates with the zygomatic bone
parietal (cranial skeleton)
- coronal suture
- squamosal suture
- sagittal suture
- lambdoidal suture
coronal suture (parietal)
between frontal bone and parietal bones
squamosal suture (parietal)
between temporal and parietal bones
sagittal suture (parietal)
between both parietal bones
lambdoidal suture (parietal)
between occipital and parietal bones
craniosynostosis
- sutures of skull become ossified prematurely
- can affect one or more of the sutures
- may or may not be associated with other genetic syndromes
- can affect brain development/learning
occipital (cranial skeleton)
- foramen magnum
- condyles
foramen magnum (occipital)
allows passage of the spinal cord to the brainstem
condyles (occipital)
resting point for the first cervical vertebra
temporal (cranial skeleton)
- external auditory meatus
- zygomatic process
- mandibular fossa
- styloid process
- mastoid process
- petrous part
external auditory meatus (temporal)
ear canal
zygomatic process (temporal)
articulates with the temporal process of zygomatic bone to form zygomatic arch
mandibular fossa (temporal)
articulates with condyle to form the temporomandibular joint
styloid process (temporal)
point of attachment for various muscles
mastoid process (temporal)
point of attachment for various muscles of neck
petrous part
houses the organs of hearing (cochlea) & equilibrium (semicircular canals)
types of teeth
- permanent dental arch
- central incisor
- lateral incisor
- cuspids (canine)
- first bicuspids (premolar)
- second bicuspids (premolar)
- 1st molar
- 2nd molar
- 3rd molar (wisdom teeth)
components of a tooth
- crown
- root
- enamel
- dentin
- pulp
crown (components of a tooth )
area above the gum line
root (components of a tooth )
below the gum line
enamel (components of a tooth )
dense surface for protection
dentin (components of a tooth )
solid portion of tooth
pulp (components of a tooth )
contains nerves and blood vessels within tooth
dental development
- deciduous teeth
- permanent teeth
deciduous teeth (dental development)
- shedding teeth
- 10 teeth in each arch
permanent teeth (dental development)
-16 teeth in each arch
dental occlusion
- relationship of upper dental arch to lower dental arch when teeth come together
- class I occlusion
- class II
- Class III
Class I (occlusion)
- normal position
- neutrocclusion
- first permanent molar of the mandibular arch is one half tooth anterior or advanced of the first permanent maxillary molar
Class II (occlusion)
- malocclusion
- first mandibular molar is posterior to normal position
- mandible is protruded
Class III (occlusion)
-malocclusion
-first mandibular molar is anterior to normal position
mandible is protruded
-relative micrognathia
relative micrognathia (class III occlusion)
- condition in which the mandible is small in relation to the maxilla
- may be part of other genetic syndromes
- may interfere with infant feeding
- may cause abnormal alignment of the teeth
bite
- open bite
- closed bite
open bite
anterior teeth do not occlude (do not touch when u bite down) because of excessive eruption of posterior teeth
closed bite
posterior teeth do not occlude because of excessive eruption of anterior teeth
What are the cavities of the vocal tract?
- oral cavity
- buccal cavity
- pharyngeal cavity
- nasal cavity
Oral cavity (cavity of vocal tract)
- hard palate
- rugae
- soft palate
- anterior facial pillars
- posterior faucial pillars
- palatine tonsil
- uvula
rugae (oral cavity)
folds of tissue
soft palate (oral cavity)
- velum
- moves posteriorly to separate oropharynx from nasopharynx
anterior faucial pillars (oral cavity)
- arches
- bands of tissue located posterior boundary of the oral cavity
posterior faucial pillars (oral cavity)
- arches
- bands of tissue located posterior to the anterior faucial pillars
palatine tonsil (oral cavity)
located between the two faucial pillars
uvula (oral cavity)
- may aid in speech sounds (non-english)
- aides velopharyngeal closure
buccal cavity (cavities of vocal tract)
space between the teeth and cheeks
pharyngeal cavity (cavities of vocal tract)
pharynx
- nasopharynx
- oropharynx
- laryngopharynx
nasopharynx (pharyngeal cavity)
- space above the soft palate
- Eustachian tube: provides aeration of the middle ear
- pharyngeal tonsil-adenoid
oropharynx (pharyngeal cavity)
area posterior to the fauces, between soft palate and hyoid bone
laryngopharynx (pharyngeal cavity)
area bounded by the hyoid bone, epiglottis and esophagus
nasal cavity (cavities of the vocal tract)
- increase surface area to aid in warming, moistening and cleaning (filter) the air we breath
- superior nasal concha
- middle nasal concha
- inferior nasal concha
philtrum (landmarks of the lip)
vertical groove located above the lips
philtril ridge (landmarks of the lip)
location of cleft lip
cleft lip
- birth defect that causes a split or opening in the upper lip
- difficulties with feeding in infancy
- surgery will repair lip
- may need orthodontic care when older
- may or may not have speech difficulties
ORBICULARIS ORIS
(Miscellaneous muscles of the face )
-function: closes and protrudes lips
RISORIOUS
Miscellaneous muscles of the face
-function: retracts lips at the corner, aids in mastication and smiling
BUCCINATOR
Miscellaneous muscles of the face
-function: compresses the cheek, moves food onto surface of molars for mastication
Levator labii superioris alaque nasi
elevator muscles of face
-function: elevates upper lip
Levator labii superioris
elevator muscles of face
-function:elevates upper lip
zygomatic minor
elevator muscles of face
-function: elevates upper lip
zygomatic major
elevator muscles of face
-function: elevates and retracts the angle of mouth
Levator anguli oris
elevator muscles of face
-function: pulls corners of mouth up and medially
mentalis
Depressor muscle of face
-function: depresses lower lip, elevates and wrinkles chin
depressor labii inferioris
Depressor muscle of face
-function: dilates the orifice of the mouth by pulling the lower lips down and out
depressor anguli oris
Depressor muscle of face
-function: depresses the corners of mouth and helps compress the upper lip against the lower lip
platysma
Depressor muscle of face
-function: depresses mandible
What are the regions and structures of TONGUE
- tip
- dorsum
- base
- root
- oral or palatine portion
- pharyngeal portion
- inferior surface
tip
regions and structures of tongue
anterior most portion
dorsum
regions and structures of tongue
superior surface
base
regions and structures of tongue
located in the oropharynx
root
regions and structures of tongue
lower area of the tongue where tongue attaches to mandible
oral or palatine portion
regions and structures of tongue
2/3 tongue located in oral cavity
pharyngeal portion (regions and structures of tongue)
1/3/ tongue located in the oropharynx
inferior surface (regions and structures of tongue)
- lingual frenulum
- sublingual folds
lingual frenulum (inferior surface- regions and structures of tongue)
ankyloglossia:
- > short,thick or tight lingual frenulum
- > restricted range of motion of the tongue
- > may have difficulty sticking out tongue
- > may affect infant feeding
- > may affect speech articulation
- > may require surgical procedure for treatment
sublingual folds (inferior surface- regions and structures of tongue)
-salivary glands
What are the intrinsic tongue muscles?
- superior longitudinal muscle of tongue
- inferior longitudinal muscle of tongue
- transverse muscle of tongue
- vertical muscle of tongue
superior longitudinal muscle of tongue
intrinsic tongue muscles
-function:elevates tip of tongue and pulls tongue to side
inferior longitudinal muscle of tongue
intrinsic tongue muscles
-function: pulls tip of the tongue downwards and pulls tongue to side
transverse muscle of tongue
intrinsic tongue muscles
function: narrows the tongue
vertical muscle of tongue
intrinsic tongue muscles
function: flattens the tongue and pulls tongue down into the floor of the mouth
What are the extrinsic tongue muscles?
- genioglossus muscle
- hyoglossus muscle
- styloglossus muscle
- palatoglossus muscle
Genioglossus muscle
extrinsic tongue muscles
function:
- >retract the tongue, protrude tongue and elevates hyoid
- >contraction of both anterior and posterior fibers depress the tongue
hyoglossus muscles
extrinsic tongue muscles
function: pulls sides of the tongue down, elevates hyoid
styloglossus muscle
extrinsic tongue muscles
function: draws tongue back and up
palatoglossus muscles
extrinsic tongue muscles
- muscular structure of anterior faucial pillar
function: elevates back of tongue and depresses soft palate
what are the muscles of mastication?
- mandibular elevators
- mandibular protrusion
- mandibular depressors
mandibular elevator
muscles of mastication
- masseter
- temporalis muscle
- medial pterygoid muscle
masseter
mandibular elevator
-function: elevates mandible
temporalis Muscle
mandibular elevator
function: elevates the mandible and draws it back if protruded
medial pterygoid muscle
mandibular elevator
function:elevates mandible
lateral pterygoid muscle
mandibular protrusion
function: elevates mandible
What are the mandibular depressors
- digastricus
- mylohyoid muscle
- geniohyoid muscle
- platysma
ANTERIOR belly digastricus
mandibular depressor
function: depresses mandible
elevates hyoid
POSTERIOR belly digastricus
mandibular depressor
-function: depresses mandible
elevates hyoid
mylohyoid muscle
mandibular depressor
function: depresses mandible
elevates hyoid
geniohyoid muscle
mandibular depressor
function: depresses mandible
elevates hyoid
platysma
mandibular depressor
function: depresses mandible
What are the muscles of the soft palate
- palatal elevators
- palatal depressors
- palatal tensor
levator veli palatini
palatal elevator
function: elevates and retracts soft palate
musculus uvulae
palatal elevator
function: shortens the soft palate
makes structure of uvula
palatoglossus
palatal depressor
- extrinsic tongue muscle
- forms anterior faucial pillar
function: elevates the tongue and depresses the soft palate
palatopharyngeus
palatal depressor
forms posterior faucial pillar
function: narrows the pharynx and lowers soft palate
tensor veli palatini
palatal tensor
function: stabilizes and flattens soft palate
dilates the eustachian tube
What are the muscles of the pharynx
- superior pharyngeal constrictor
- middle pharyngeal constrictor
- inferior pharyngeal constrictor
- sapingopharyngeus
- stylopharyngeus
superior pharyngeal constrictor
muscles of the pharynx
function: pulls posterior pharyngeal wall forward
constricts pharyngeal diameter to aid in deglutition
-assists in velopharyngeal closure
middle pharyngeal constrictor
muscles of the pharynx
function: narrows diameter of pharynx
- peristaltic movements for swallowing
inferior pharyngeal constrictor
muscles of the pharynx
thyropharyngeus muscle
cricopharyngeal muscle
thyropharyngeus muscle (inferior pharyngeal constrictor)
function: reduces diameter of lower pharynx
cricopharyngeal muscle (inferior pharyngeal constrictor)
function: muscular opening of the esophagus
salpingopharyngeus
muscles of the pharynx
function: elevates the lateral pharyngeal wall
stylopharyngeus
muscles of the pharynx
function: elevates and opens the pharynx during deglutition
source filter theory of vowel production
speech is the product of sending and acoustic source such as the sound produced by the vibrating vocal folds, through filter of the vocal tract which shapes the output
motor skills development
articulation
cephalocaudually
proximodistally
cephalocaudually
motor skills development
head to tail
proximodistally
motor skills development
medial structures to distal structures
stabilization
motor control
speech is a fine motor skills that requires good stabilization of the trunk and neck muscle
resonation
- the sound quality given to voiced sounds by the vocal tract
- vocal tract is an acoustic resonator
characteristic of the vocal tract resonator
- tube that is closed at one end (glottis) and open at the other (lips, nasal passageway)
- series of air filled containers that are connected to each other
- irregular shape makes it possible to transmit a wide range of resonating sounds
- variable resonator whose frequency response changes depending on it shape
to change the resonant frequencies of the vocal tract
- length
- location of constriction
- degree of constriction
velopharyngeal dysfunction
- weakness or impairment of velar function
- velum must be elevated for all english sounds except /m/. /n/, /ing/
resonance problems
hypernasality
hyponasality
nasal emission
cul-de-sac resonance
hypernasality
resonance problems
excessive nasal resonance
hypo nasality
resonance problems
insufficient nasal resonance
nasal emission
resonance problems
air escape through the nasal cavities
cul de sac resonance
resonance problems
muffles sound to voice
cleft palate
- hold gap in the hard and soft palate
- difficulties w/ feeding in infancy
- high risk for frequent ear infections
- surgery is required to repair the cleft
- may need orthodontic care
- may have speech difficulties
complete cleft of the palate
- starts at the inclusive foramen
- follows along the intermaxillary suture of the palatine processes of the maxilla
- continues between the horizontal plates of the palatine bones
- goes through the soft palate
partial cleft of the palate
- starts at a a point posterior to the incisive foramen
- may include a cleft through the part of the hard palate and soft palate
structural differences between adult and infant
- oral cavity is smaller
- larynx is elevated
- hyoid is elevated and forward
- larger velum
- no teeth
dysohagia
any difficulty, discomfort or pain associated with swallowing
signs of dysphagia
- frequent coughing or clearing of airway when eating food or liquids
- wet sound voice
- pain when swallowing
- recurring pneumonia
causes of dysphgia
- obstructive
- neurological
- congenital & development
obstructive
causes of dysphgia
- cancer of mouth or larynx
- reflux
neurological
causes of dysphgia
- stroke
- parkinsons disease
- multiple sclerosis
- brain tumor
congenital & development
causes of dysphgia
- cerebral palsay
- cleft lip and palate