How to stop talking in the nose? Causes and treatment of rhinolalia

How to stop talking in the nose? This question is of interest to many people who are nasal. Such a defect prevents clean and beautiful speech and complicates the person’s communication with others. Most often, this violation occurs in childhood and can significantly worsen the socialization of the child. However, the nasal in most cases is subject to correction, it is only important to correct the speech defect in time.

Types of Rhinolalia

Rinolalia is the medical name for nasal. Why does this speech impediment occur? To answer this question, you need to understand the mechanism for pronouncing sounds.

Rhinolalia is especially pronounced when a person tries to pronounce the sounds "m" and "n". It is during their reproduction that difficulties arise, for example, if a person has a stuffy nose. However, with a severe form of nasal, all sounds acquire a characteristic nasal sound.

If you examine the throat with a mirror, you can notice a small "tongue" between the tonsils. This organ is called the palatine curtain. It is he who takes part in the formation of the sounds "m" and "n". In phonetics, they are called nasal consonants. When pronounced, the palatine curtain descends, and air passes through the nose.

There are two forms of nasal nausea:

  1. Closed. The palatine tongue is constantly lowered, and air does not enter the nasal passages. A person has difficulty pronouncing the sounds β€œm” and β€œn”.
  2. Open. The palatine curtain never drops; air passes through the nose and through the mouth at the same time. With this form, the reproduction of all sounds, even vowels, is distorted. The patient's speech loses its sonority and becomes muffled and fuzzy.
Closed and open rhinolalia

Doctors also distinguish a mixed variety of rhinolalia. This means that a person has signs of both forms of nasal.

Why does a person speak in the nose

Nausea is often noted during a runny nose and may persist for some time after recovery. This is due to nasal congestion and residual effects after rhinitis. You need to sound the alarm in cases where a person’s nose is already breathing, but rhinolalia still persists for a long time after an illness.

In medicine, the causes of nausea are divided into 2 groups. The first is associated with defects and injuries of the vocal apparatus. The following diseases can lead to rhinolalia:

  • curvature of the nasal septum;
  • incorrect structure of the tongue;
  • congenital defects of the lip and palate (cleft palate and cleft lip);
  • shortening the sky;
  • sky injuries.

How to get rid of nasal in such pathologies? Most often they have to be treated promptly. After that, the patient regains correct speech.

The second group of causes of rhinolalia is associated with diseases of the nasopharynx:

  • rhinitis and its consequences;
  • adenoids and polyps in the nasal cavity;
  • tumors of the nasopharynx;
  • swelling and proliferation of the nasal mucosa;
  • neglected forms of syphilis, proceeding with the destruction of the sky.

Some of these pathologies are subject to conservative treatment. With tumors, polyps and adenoids, an operation is performed to remove neoplasms.

Nasal obstruction due to nasal obstruction

In addition, rhinolalia can be associated not only with anatomical defects, but also with functional disorders. For example, a person may speak in the nose while loosening the muscles of the palatine curtain.

Diagnostics

How to stop talking in the nose? First of all, it is necessary to establish the causes of the nasal. A patient with rhinolalia needs to undergo a comprehensive examination by a speech therapist, otolaryngologist and maxillofacial surgeon.

The speech therapist suggests that the patient pronounce the sounds β€œand” and β€œa” with his nose pinched (Gutzman test). Then the doctor conducts an external examination of the patient's speech apparatus. If a speech therapy examination did not reveal any pathologies, then the patient is referred to an otolaryngologist. The specialist conducts a thorough examination of the ENT organs with the help of endoscopic instruments (rhinoscope and pharyngoscope).

Instrumental examination of the nasal cavity

Consultation of the maxillofacial surgeon is required in cases of suspected trauma to the speech apparatus. Radiography of the jaws and nasopharynx is performed.

Drug therapy

How to stop talking in the nose while avoiding surgery? Unfortunately, not all diseases leading to rhinolalia can be treated with conservative methods. It is possible to get rid of nausea with the help of drugs only if the speech impairment is not associated with anatomical disorders and neoplasms.

Medication is indicated for chronic runny nose and complications of acute rhinitis, as well as for swelling of the nasal mucosa. Prescribe vasoconstrictor drops and physiotherapeutic procedures. Usually, after cleansing the nasal cavity, nasal nausea completely disappears. These are the mildest cases of rhinolalia.

Medication for rhinolalia

Surgery

For anatomical disorders, surgical treatment is necessary. Very often in children, nausea is caused by polyps and adenoids in the nasal cavity. This defect can be corrected with an easy operation. Under local or general anesthesia, the doctor removes the neoplasm using a special loop.

With a cleft palate and a cleft lip, operations are performed to remove the cleft palate (uranoplasty) and the lips (cheiloplasty). These surgical interventions allow you to get rid of speech disorders and a cosmetic defect.

Often patients ask the question: "What to do when the nasal septum is curved?" This defect is often a consequence of nasal injuries and leads to respiratory failure, snoring during sleep, and nasal congestion. With this violation, patients are shown plastic nasal septum (septoplasty). Under local anesthesia, the curved parts of the cartilage are removed. There is no postoperative scar on the face, since an incision is made inside the nose.

Special exercises

Often, the examination does not reveal any violations and defects, however, a person has severe rhinolalia. How to stop talking in the nose? In such cases, nasal congestion most often has a functional origin.

If a speech defect is associated with weakness or a decrease in muscle tone of the palate, then special exercises will help. With open rhinolalia, the following exercises are useful:

  • bloating cheeks;
  • the release of soap bubbles from the tube;
  • blowing out a burning match.

Such exercises help normalize breathing.

Speech Therapy

It is necessary to regularly perform gymnastics to improve articulation:

  1. The tongue is folded in the form of a tube and slowly protrudes from the mouth.
  2. A patient with a closed mouth touches the tongue of the inner surface of each cheek.
  3. The tongue is moved from one corner of the mouth to another.

If you do these exercises systematically, then over time the nasaliness decreases, and speech becomes cleaner.


All Articles