Page 44 - Olfaction regained_Flipbook-subtitles

manometer will then move further upwards. Non-laryngectomized individuals are able to make the same movement by breathing in and then holding their breath. This method is only useful in helping the patient most efficiently to learn the technique with the manometer, as closure of the tracheostoma to actually smell something in daily life is not a practical option. Incorrect movement of liquid Figure 15: Manometer in which liquid moves incorrectly Incorrect movement of liquid If the liquid in the manometer moves away from the patient (see figure 15), this may be caused by retronasal airflow due to the tongue being pushed upwards instead of it being pulled downwards. This may be changed when the patient learns the correct starting point for the tongue. This is when the entire tongue is pressed against the roof of the mouth. At this point a slight intake of breath is required. The entire tongue must then 43