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AFFRICATES air burst Blowing games breath CLEFT PALATE SPEECH CONSONANT PRACTICE escape of air Firm tension FRICATIVES OR CONTINUANTS front of palate HINT.—Use a mirror IMPORTANT SPEECH SOUNDS Leeds lip and upper lip under upper lips are pressed lips remain open Lips rounded Lips spread little finger lower front teeth Lower lip NASAL CONSONANTS—i.e. nose Older patients ORAL CONSONANTS paper in front PLOSIVES OR STOPS PRACTICE OF SPEECH prevent air escaping PRODUCTION AND PRACTICE raised to touch Rhymes sh t sh SH ZH Tip shorter and shorter sides of tongue soap bubbles soft palate SOUNDS IN CLEFT SPEECH TRAINING Fig teach nasal occlusion tension on soft Th Tip Tip of tongue Tongue arched tongue behind upper Tongue flat tongue is pressed tongue raised tongue vibrating touch the palate upper front teeth upper platform upper teeth vibrating against front vocal cords voice without obstruction Vowels whistles zh d zh