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Oral view of palate:

–Observe midline pulling lateral during /ah/

–Observe indentation in soft palate during /ah/

Nasal view of palate:

–Both sides can be seen from one nasal passage

–Normal elevation is complete without air leak during plosives (/pa/, /ka/, /ta/) and fricatives (/sh/, /th/)

–Abnormal elevation is incomplete

–One side lack of complete elevation – gap – especially if viewed from pathway over the middle turbinate

–Bubbles from secretions during phonation – plosives and fricatives

–Can use endoscope as occlusive test – during whistling – knowing diameter of scope

–Also helps patient to realize the extent of injury – often the loss of voice is most obvious injury and may cover up symptoms of nasal leak which can then later become very noticeable after any laryngeal correction