The bony surface of the roof of the mouth is perforated by numerous
small foramina for the transmission of the nutrient vessels to the body
of the bone, pitted for the lodgment of mucous glands, and grooved
longitudinally for the transit of vessels. At the postero-external
corners the posterior and accessory palatine canals give entrance to the
posterior palatine vessels, and nerves; and anteriorly in the median line
is the anterior palatine canal transmitting the naso-palatine vessels and
nerves.
The soft palate is a moveable curtain, consisting of a membranous
expansion or aponeurosis attached to the posterior extremity of the hard
palate by firm fibrous tissue. Incorporated with it are five pairs of
muscles, controlling its movements; it is covered by a smooth thin mucous
membrane, and terminates posteriorly in the uvula. The arrangement of
these muscles is important, not only from their normal physiological
functions, but also from their irregular action and effects in cases
of cleft palate (Fig. 28). They may be arranged in groups: two, the
levator and tensor palati, form a superior group; the azygos uvulæ is
intermediate; and the palato-glossus and palato-pharyngeus form an
inferior set. Arising from the extremity of the petrous bone, the levator
passes downwards, and spreading out below unites with its fellow in the
whole length of the median raphe. The tensor arises from the navicular
fossa of the internal pterygoid plate, and after being reflected around
the hamular process, its action there being assisted by the interposition
of a bursa, is attached to the anterior portion of the aponeurosis and
to the hinder part of the bony palate. The combined action of these
muscles raises and makes tense the velum, and in addition influences the
Eustachian tube; but the levator is by far the more important. The azygoi
uvulæ muscles arising from the median raphe and spine of the hard palate
descend to the tip of that process, and are thus able to regulate its
length.
[Illustration: FIG. 28.—Muscles of palate dissected. The cut represents
the posterior nares and upper surface of the soft palate.
_a._ The levator palati. _b._ The inner bundle of fibres of the
palato-pharyngeus, forming the posterior pillar of the fauces, _c._ The
palato-glossus. _d._ The tensor palati; the cartilaginous extremity of
the Eustachian tube is seen in front of this latter. _e._ The posterior
extremity of the inferior turbinated bone. _f._ The septum. _g g._ The
uvula on each side stretched apart. (_Fergusson._)]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account