Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Palatal Muscles”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 109 records · Page 6Linked to original sources
PubMed2000

[Applied anatomy of arterial supply for the soft palate].

OBJECTIVE: The correct design of a myomucosal or mucosal flap of the soft palate in the surgical procedure for cleft palate and velopharyngeal incompetence should be made with a thorough knowledge of the arterial supply for the soft palate, which is an important premise for functional rehabilitation of the soft palate postoperatively. METHODS: Anatomical dissection was undertaken in 14 cadavers (10 normal adults, 2 normal newborns and 2 newborns with cleft lip & palate). The arteriography and histological studies have been used in 10 newborn and 6 aborted fetuses. RESULTS: The results showed that the arterial supply of the soft palate is multi-original and the principal artery is the ascending palatal artery. Its anterior and posterior branches are myomucosal perforators. The other vessels to supply the soft palate are direct mucosal branches, which include the lesser palatine artery, the palatal branch of the ascending pharyngeal artery and the tonsillar artery. All above arteries anastomose under the mucosal, muscular and fascial layers in the soft palate. In cleft cases, all arteries in the soft palate are displaced anterior-laterally because of the deformities of the palatal muscles and bone structure. CONCLUSIONS: This study supports the facts that the major blood supply of the soft palate comes from ascending palatine artery and the generous arterial anastomosis of the velum allows it to tolerate the proper dissection during palatoplasty. We believe that decreasing the damage of the intrapalatal vascular supply by carefully dissection around the hamulus is very important to prevent wound break down, muscular fibrosis, flap failure, and also is the basis of design for surgical procedure and postoperative functional recovery in cleft palate patients.

Adult↗
PubMed2003

An anatomical study of the levator veli palatini and superior constrictor with special reference to their nerve supply.

We dissected 50 head halves of 25 Japanese cadavers (10 males, 15 females) to investigate the innervations of the levator veli palatini (LVP) and superior constrictor pharyngis. The branches supplying the LVP were classified into the following three types according to their origins: supplying branches that originated from the pharyngeal branch of the glossopharyngeal nerve (type I, four sides, 8%), branches that originated from a communicating branch between the pharyngeal branches of the glossopharyngeal and vagus nerves (type II, 36 sides, 72%), and those that originated from the pharyngeal branch of the vagus nerve (type III, 10 sides, 20%). In previous studies, supplying branches of type I were seldom described. Regarding the innervation of the superior constrictor, some variations were observed, and we consider it likely that there is a close relationship between these variations and the type of innervation of the LVP.

Female↗
PubMed1993

A modified palatopharyngeous flap operation and its application in the correction of velopharyngeal incompetence.

The conventional sphincteric pharyngoplasty does not achieve velopharyngeal competence in certain cases because of the intrinsic deficiency of the technique. A modified palatopharyngeous flap operation was introduced and used as a secondary procedure for the correction of velopharyngeal incompetence in 15 cleft palate patients. The results showed that the lateral-to-lateral connection and the high attachment of the palatopharyngeal flaps can form a new velopharyngeal port that is easily closed by velar movement. The surgical result is satisfactory, as revealed by the speech intelligibility test, videofluoroscopy, and nasopharyngoscopy. The surgical technique is described and the importance of presurgical identification of velopharyngeal movements is stressed in this paper.

Adolescent↗
PubMed1998

Does preexisting posterior pharyngeal wall motion drive the dynamism of sphincter pharyngoplasty?

Lateral speech videofluoroscopic evaluations were videotaped preoperatively and postoperatively for 20 patients who underwent sphincter pharyngoplasty. Randomized videotapes were constructed and subsequently evaluated by speech/language pathologists experienced in assessing patients with velopharyngeal dysfunction. Rating forms assessing various motion parameters of the posterior pharyngeal wall were completed and analyzed statistically. Results showed that the posterior pharyngeal wall configuration postoperatively was less likely to be rated as smooth relative to the preoperative configuration (p = 0.019). No other statistically significant data were obtained, although there was a trend for posterior pharyngeal wall movement rated as discrete preoperatively to be described as generalized postoperatively. We conclude that when comparing preoperative and postoperative parameters, sphincter pharyngoplasty does not significantly affect posterior pharyngeal wall motion. Posterior pharyngeal wall configuration is less likely to be categorized as smooth after sphincter pharyngoplasty relative to the preoperative condition. Although sphincter pharyngoplasty has been shown to improve velopharyngeal function, there is little evidence from this study to suggest that preexisting posterior pharyngeal wall motion causes sphincteric movement.

Child↗
PubMed1994

Measurement of velopharyngeal closure force during vowel production.

The purposes of this study were to (a) design and test a new velopharyngeal closure force sensing bulb, and (b) use the closure force bulb to gather additional information on the variations in closure force associated with different vowels. The closure force sensing bulb possessed a flat frequency response to 30 Hz. Its output was highly linear relative to applied gram force. Reliable placement of the bulb in human subjects was achieved following prescribed placement criteria. The bulb was sensitive to small variations in velopharyngeal closure force. In agreement with some previous reports, high vowels were associated with greater velopharyngeal closure forces than low vowels. The results of this investigation support the notion that articulatory goals are specified for vowels. This vowel specificity was observed during production in both isolation and in context.

Adult↗
PubMed1983

Absence of nasal air flow during pursed lips breathing. The soft palate mechanisms.

During pursed-lips (PL) breathing, even though expiratory air-flow resistance is probably higher than during nasal breathing, there is no air flow through the nose. This should imply an active mechanism that prevents air from escaping through the nares. In 6 patients with chronic obstructive lung disease (FEV1/FVC 34.5 +/- 11.8%; mean +/- 1 SD), nasal resistance averaged 2.6 +/- 0.5 cm H2O.L-1.s-1, whereas translabial resistance (during PL expiration) was 5.7 +/- 0.7 cm H2O.L-1.s-1 (p less than 0.005 by paired t test). Nasal air flow during PL expiration was zero. In all patients, cineradiographic studies showed during the expiratory phase of PL breathing that the soft palate rose to closely contact the posterior pharyngeal wall, completely occluding the entrance to the nasopharynx. This upward movement of the soft palate was of active nature. The palate muscles should be considered as accessory respiratory muscles.

Aged↗
PubMed1997

Effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate function in horses.

OBJECTIVE: To determine the effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate and nasopharyngeal function in exercising horses. ANIMALS: 5 Standardbreds. PROCEDURE: Treadmill videoendoscopy was performed on 5 Standardbreds exercising at 50, 75, and 100% of the speed that produced maximum heart rate; tracheal and pharyngeal pressures were measured before and after surgery. Tenectomy of the tensor veli palatini muscle was performed bilaterally on each horse while under general anesthesia, using a transoral approach. RESULTS: Peak inspiratory tracheal pressures were significantly (P = 0.016) more negative and there was a trend (P = 0.06) for peak pharyngeal inspiratory pressure to be less negative following bilateral tenectomy of the tensor veli palatini muscle, compared with preoperative values. The rostral half of the soft palate was unstable and collapsed dorsally into the nasopharynx during inspiration, causing partial obstruction of the nasopharynx. The caudal free margin of the soft palate remained ventral to the epiglottis, and dorsal displacement of the soft palate did not occur in any horse. CONCLUSIONS: Bilateral tenectomy of the tensor veli palatini muscle did not cause dorsal displacement of the soft palate in horses while exercising at maximum heart rate, but resulted in collapse of the nasopharynx during inspiration. CLINICAL RELEVANCE: Results of our study indicate that the tensor veli palatini muscle functions to support and dilate the nasopharynx during intense inspiratory efforts in horses by tensing the palatine aponeurosis.

Anesthesia, General↗
PubMed2005

[CT analysis of 69 patients with nasopharyngeal carcinoma invading the Cranio-maxillofacial structures].

PURPOSE: To analyze the characteristics of involvement of surrounding tissues in nasopharyngeal carcinoma(NPC). METHODS: CT images of 69 cases with preradiotherapeutic nasopharyngeal carcinoma were analyzed to calculate the rates of anterior spread(including pterygoid plates,pterygopalatine fossa, maxillary sinus, ethmoidal sinus, nasal cavity), lateral spread(including palatal muscle, parapharyngeal space, carotid sheath and infratemporal fossa), medial spread(including pharyngeal cavity, the contralateral side of the nasopharynx), posterior spread(including prevertebral muscle, cervical vertebra and clivus), superior spread(including sphenoidal sinus,foramen lacerum, foramen ovale, greater wing of sphenoid bone, petrous apex and intracranial region), inferior spread(including oropharynx, parapharyngeal space, soft palate, hard palate) respectively. RESULTS: 18 cases of in this series had anterior spread(26.1%); 53 had lateral spread(76.8%); 31 had medial spread(44.9%); 32 had posterior spread(46.4%); 14 had superior spread(20.3%); 29 had inferior spread(42.0%). CONCLUSIONS: Lateral spread is the most common spread direction in nasopharyngeal carcinoma, followed by posterior spread, median spread, inferior spread, anterior spread, superior spread in turn.

Carcinoma↗
PubMed2000

Histological changes to palatal and paratubal muscles in oral submucous fibrosis.

Oral submucous fibrosis (OSMF) is prevalent in the Indian subcontinent. In a large number of patients conductive deafness due to eustachian tube dysfunction has been found. The present study was, therefore, planned to assess the histopathological changes in palatal and paratubal muscles in oral submucous fibrosis. Incisional biopsy from the soft palate was taken in clinically proven cases of OSMF. In most of the cases, signs of chronic inflammation and fibrosis were seen in the submucosa. Dysplasia was noticed in seven (13.2 per cent) patients. Degenerative changes in palatal/paratubal muscles were found in the form of loss of cross striations in seven (13.2 per cent), oedematous muscle fibres in five (9.4 per cent) and atrophy in five (9.4 per cent) cases. It was concluded that there was definite involvement of palatal and paratubal muscles in OSMF. This could explain the eustachian tube dysfunction in these patients.

Ear Diseases↗
PubMed2006

Relations of the pterygoid hamulus and hard palate in children and adults: anatomical implications for the function of the soft palate.

We investigated spatial relations of the pterygoid hamuli to the hard palate on 65 skull bases: 31 disarticulated sphenoidal bones from the newborn up to 9 years of age, 19 skulls of adult skeletons (21-59 age group), and 15 skulls aged 60-100 years. We measured: (a) width of the hard palate in the choanal region, (b) length of the hamulus, (c) inclination of the hamulus from the perpendicular line, and (d) distance between the tips of the contralateral hamuli. The width of the hard palate in the choanal region was smallest in children (mean +/- standard deviation, 21.5 +/- 2.6 mm) compared with adult skulls (26.8 +/- 2.3 mm in the 21-59 age group and 25.4 +/- 1.9 mm in the 60-100 age group; P<0.05, one-way analysis of variance (ANOVA) and Student-Newman-Keuls post hoc test). Children had the shortest hamulus (3.6 +/- 1.5mm), and its length increased in the adult age group to 6.9+1.7mm (P<0.05), and then again decreased to 5.0 +/- 1.9 mm in the 60-100 age group (P<0.05 vs. adults and children). The distance between the tips of the contralateral hamuli and their lateral inclination from the perpendicular plane were also greater in the adult age group (38.0 +/- 2.7mm and 35.9 +/- 13.7 degrees, respectively) than either in children (31.0 +/- 3.7mm and 19.6 +/- 12.1 degrees) or the elderly (32.7 +/- 3.9mm and 19.7 +/- 10.3 degrees) (P<0.05). Our study showed that the anatomical measures of the pterygoid hamulus and its relation to the surrounding structures change with age, and occur with the changes in the function of pharyngeal and palatal muscles in deglutition. These changes may have clinical relevance for sleep apnoea and snoring.

Adolescent↗
PubMed2004

A striated muscle on the hard palate of rodents and rabbits.

Summary A striated muscle of the hard palate has been previously described in some rodents and rabbits. It is not termed in the official veterinary anatomical nomenclature. The aim of this work was to verify the existence of this muscle. Heads of the golden hamster (Mesocricetus auratus), the guinea pig (Cavia aperea f. porcellus), the laboratory rat (Rattus norvegicus var. alba), the field vole (Microtus agrestis) and the domestic rabbit (Oryctolagus cuniculus f. domesticus) have been dissected. Moreover, histological sections have been prepared from heads of the field vole. In all species under study, we could detect a striated muscle of the hard palate composed of an anterior and a posterior muscle. The anterior muscle originated on the os incisivum and diverged in anterior, lateral and posterior directions. The posterior muscle originated on the processus palatinus maxillae and verged into the m. buccinator. Inter-species differences could be detected in shape and position of the muscle. The palatal muscle was innervated by the ramus buccalis of the facial nerve. Whether this muscle should be classified as an individual facial muscle or as a part of the m. buccinator remains to be discussed.

Animals↗
PubMed2000

Palatal myoclonus: report of two cases.

We describe two cases of palatal myoclonus (PM), one essential and another secondary to a stroke. Case 1: a 64 years old female who developed clicking sounds in both ears after a stroke and three years later on noticed a progressive involuntary movement of the throat associated with rhythmic contractions of the soft palate, muscles of tongue and throat. MRI showed an ischemic area in brainstem. The patient had a partial response to the use of sumatriptan 6 mg subcutaneously. Case 2: a 66 years old female who began with ear clicking at left ear that worsed slowly associated with tinnitus and arrhythmic movements of soft palate and an audible click at left ear. Brain MRI was normal; audiometry showed bilateral neurosensory loss. She was prescribed clonazepan 1 mg daily with complete recovery. Primary and secondary palatal myoclonus share the same clinical features but probably have different pathophysiological underlying mechanisms.

Aged↗
PubMed2006

An acute pharyngeal-cervical-brachial (PCB) variant of Guillain-Barre syndrome presenting with isolated bulbar palsy.

Acute Guillain-Barre syndrome (GBS) is characterized by an acute onset of limb weakness and areflexia. There are a few rare variants that have been described and one of them is the pharyngeal-cervical-brachial (PCB) variant (oropharynx, neck, and proximal upper limb muscles). However, in this patient, the only presentation was bulbar involvement with fast recovery within days. This is likely to be the milder form of PCB that has rarely been described before. A 19-year-old Malay lady presented with progressive dysphagia associated with nasal voice for one week duration. There was no limb weakness. Examination showed generalized areflexia. Pharyngeal and palatal muscles were markedly weak. Cerebrospinal fluid (CSF) examination showed raised protein level. Nerve conduction studies revealed generalized demyelinating motor polyneuropathy consistent with GBS. The patient fully recovered within three days and was discharged well.

Adult↗
PubMed2004

Distraction osteogenesis for the cleft lip and palate patient.

Gradual maxillary distraction by modified osteotomies and external force systems is a procedure with minimal morbidity and few complications. The interaction between surgeons and orthodontists is critical, however. The wide range of possibilities for remodeling a hypoplastic maxilla by distraction allows the potential to simultaneously advance and to elongate the midface, thereby restructuring the skeletal framework with mature new bone. An expansion of all the soft tissues of the face and palate (muscles, nerves, vessels, mucosa, skin) occurs in conjunction with bone elongation. This process ultimately produces excellent functional and aesthetic results in patients with midface deficiency, thus restoring their facial appearance and avoiding many years of facial deformity and associated psychologic sequelae.

Child↗