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The extended 'a' as in 'aw' is a sound we are often asked to perform when a doctor wants to check the throat. For many people, the back of the tongue is thick and obscures any view of the tonsils/adnoids. When a doctor has us stick out our tongues and say 'aw', it moves the back of the tongue forward and flattens it somewhat, so there is a better view of the throat. Otherwise, the long sound of 'aw' has no specific meaning.

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