The two descending muscles are placed in the pillars of the fauces,
forming the lateral prolongations of the velum, and the tonsils lie in
a recess between them. The palato-glossi arising from the tongue ascend
in the anterior pillars of the fauces, and spreading out on the anterior
surface of the velum unite in the median raphe. The palato-pharyngei
start from the median raphe in two lamellæ enclosing the termination of
the levator muscle; they descend in the posterior pillars of the fauces,
and being attached to the pharyngeal wall between the superior and middle
constrictors, by their contraction assist in raising the pharynx during
deglutition.
The nervous supply of these muscles requires little notice here; suffice
it that the superior set and the azygos are supplied by the facial nerve,
the inferior set from the pharyngeal plexus.
The _mucous membrane_ of the hard palate is of the usual oral type, and
only differs from that of the rest of the mouth in its close attachment
to the periosteum, from which in fact it is almost impossible to separate
it. It is thick, dense, rather pale and much corrugated, especially in
front and at the sides, whilst behind over the velum it is smoother and
thinner. In it are many small glands (palatine glands) which extend down
to the periosteum. In the median line is a well-marked raphe, extending
anteriorly to a prominence indicating the position of the anterior
palatine canal. The rugose condition of the membrane over the hard palate
is not seen in young children; it supervenes later in life.
The _vascular supply_ of the palate is free and abundant, a circumstance
which is of the greatest surgical importance in that it permits of the
free detachment of the soft structures from the hard by long lateral
incisions, and the necessary manipulation of these in uranoplastic
operations without any fear of loss of vitality, provided that the
patient’s health and constitution are tolerably sound, and that
sufficient pedicle is left in front and behind.
Public-domain text, read in full here on John Shaqi.
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