Purpose Speech production is a complex 3-dimensional (3D) process, and yet most of what is known about it is derived from 2D midsagittal data. The relatively recent development of safe 3D imaging technologies (including magnetic resonance imaging and ultrasound) provide new opportunities to revisit and reformulate what is already known and to push the boundaries of current knowledge still further. A particularly useful imaging modality for this purpose is 3D/4D ultrasound, which until very recently was not well suited for studies in speech research. This technical report presents an overview of what 3D/4D ultrasound can contribute to speech research, with a focus on 2 demonstrations. Conclusion The 1st demonstration illustrates how 3D/4D ultrasound makes it possible to image certain vocal tract anatomical structures and planes that conventional 2D ultrasound is not capable of imaging. The 2nd demonstration illustrates how 3D/4D ultrasound can be combined with static 3D magnetic resonance imaging to provide new insight into the temporal pervasiveness and spatial extensiveness of lateral contact between the tongue and palate–teeth during speech production.
Purpose Rehabilitation of pharyngeal swallowing dysfunction requires a thorough understanding of the functional anatomy underlying the performance goals of pharyngeal swallowing. These goals include the safe and efficient transfer of a bolus through the hypopharynx into the esophagus. Penetration or aspiration of a bolus threatens swallowing safety. Bolus residue indicates swallowing inefficiency. Several primary mechanics, or elements of the swallowing mechanism, underlie these performance goals, with some elements contributing to both goals. These primary mechanics include velopharyngeal port closure, hyoid movement, laryngeal elevation, pharyngeal shortening, tongue base retraction, and pharyngeal constriction. Each element of the swallowing mechanism is under neuromuscular control and is therefore, in principle, a potential target for rehabilitation. Secondary mechanics of pharyngeal swallowing, those movements dependent on primary mechanics, include opening the upper esophageal sphincter and epiglottic inversion. Conclusion Understanding the functional anatomy of pharyngeal swallowing underlying swallowing performance goals will facilitate anatomically informed critical thinking in the rehabilitation of pharyngeal swallowing dysfunction.
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