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        CSP 052: Tethered Oral Tissues (TOTs)


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        In today’s episode, I’m happy to welcome back Robyn Merkel Walsh to talk about tethered oral tissues (TOTs). Back in the day, we learned about ankyloglossia. If we were lucky, 5 minutes was spent talking about the issue and we moved on. After all, TOTS is pretty low-incidence, right? Well, maybe not…
        Here are just a sample of the areas we covered: 
        1. Seven (yes 7 areas of oral frena)
        2. How Brazil is way ahead of the curve on TOTs.
        3. Who is providing the therapy pre and post-op?
        4. Scope of practice issues
        5. Where the oral motor debate is taking us
        Note: this conversation was recorded in November 2019, just prior to the 2019 ASHA convention.
        Links: 
        1. The blog post I did with Robyn
         
        2. Linda D’Onofrio’s facebook page:  Oromyofunctional study group 
         
        3. International Association of Orofacial Myology (IAOM)
         
        4. Robyn’s SMILE (SysteMatic Intervention for Lingual Elevation)
         
        5. ASHA’s Oromyofunctional Practice Portal 
         
        6. Char Boshart’s podcast  
         
        7. A review paper by Ray Kent on nonspeech oral movements
         
        8. A TOTS group on facebook
         
        9. Dr. Bobby Ghaheri’s website (good blog section on TOTS)
         
        10. The Oral Motor Institute  
         
        • Welcome to Conversations in Speech Pathology!

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            Blog Post: A Further Dialogue on Oral Placement Therapy (OPT)
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        • Faq & Disclaimer

           

          1. Conversations in Speech Pathology (CSP) is a podcast about issues related to the clinical practice of speech pathology. My mission is for the show to be: Interesting, Respectful to all parties, & Fun!

          2. Per #1, my interests are primarily Autism, AAC, and Speech Sound Disorders (SSD). But...I will continue to cover other areas as well.

          3. Please don't assume that because I cover a particular topic or individual that I am automatically endorsing everything they say and stand for. I want to hear from a variety of voices and I may or may not agree with everything a particular guest might say. Please keep that in mind.

           

          Thanks for listening!

          -Jeff

           

          Working FAQ (Updated Summer 2020)

           

          1. Why don’t you put more episodes out on a regular basis? My podcast is a part-time passion of mine and it's a lot of work. For every hour of audio I record, there are about 4 hours of editing and post-production work that need to get done. There are also a lot of other speech podcasts these days- I'm really impressed!

           

          2. Do you feel a responsibility to champion evidence-based practice (EBP)? Yes, with a slight caveat. There are a number of issues in speech pathology where evidence (for or against a particular intervention) is either lacking or misleading (depending on who is citing a particular study). There is a serious lack of nuance and openness in our profession (actually, it's in all corners of life these days). I have always believed that it is better to justify why you are doing a particular intervention than to do something just because it was cited in a study. I also believe speech pathology is a profession still in its infancy. So much to learn!

           

          3. I really like the podcast. How can I support what you’re doing? I’m glad you asked! There are 3 ways you can help me out:

           

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          3. I am going to launch a product this fall (2020). Stay tuned!

           

           

          Disclaimer

          Conversations in Speech Pathology is a podcast meant to provide an ongoing dialogue about topics important to the practice of speech-language pathology/therapy. The show, its host, and guests do not provide medical or therapeutic advice regarding individual clients. Parents and other professionals are urged to seek the advice of a licensed professional for specific concerns regarding communication disorders/delays.

        • About the host...

          I am now in my 21st year as a speech-language pathologist. I began my career working with adults (acute/subacute, skilled nursing facility, trach/vent hospitals). Around 2000, I transitioned towards pediatrics and never looked back. I currently work in a school setting full-time (serving children with moderate-severe disabilities) while continuing a private practice part-time.

          That’s the short version at least…

          jeff@conversationsinspeech.com

          That's me with the family (background) at Chicago Botanic Garden (The Lightscape show).

          Me and my trusty microphone!

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