The mucous membrane of the hard palate derives its blood supply from
two of the terminal branches of the internal maxillary artery. The
naso-palatine descend through the anterior palatine canal, and entering
the palate at the incisive foramen (foramina of Stenson) assist in
supplying the anterior portion, anastomosing with the terminations of
the more important posterior or descending palatine, which find their
way to the palate from the spheno-maxillary fossæ through the posterior
palatine canals. Each of the latter arteries on reaching the palate
sends branches to the velum and tonsils, and its main twig runs onwards
in a groove of the bone to supply the mucous membrane and glands of the
hard palate and gums. Its usual position is parallel to the alveolar
border, and about three quarters of an inch from it; but this varies
considerably. The artery can often be felt pulsating as it emerges from
the bone, and is very likely to be divided in the lateral incisions made
during the operation of uranoplasty; but the knife should be carried
external to it, if possible, so that the trunk of the vessel may be
preserved in the flap. The bony palate derives its blood supply not only
from its lower surface but also from its upper, and hence detachment of
the inferior periosteal covering does not lead to death of the bone. The
soft palate derives its blood from three sources, viz. the ascending
palatine of the facial, the ascending pharyngeal, and the posterior
palatine of the internal maxillary. The two former reach it through
the sinus of Morgagni, _i. e._ over the upper border of the superior
constrictor muscle, forming loops of anastomosis on its posterior aspect
with similar branches on the opposite side; the last supplies the
anterior palatal surface.
The normal shape of the palate is a regular arch, bounded laterally by
the gums and alveoli into which the teeth are implanted so as to describe
a parabolic curve, being normally uninterrupted at any spot by spaces
or diastemata. The height and curvature of the palate vary considerably
in different individuals, not only from inherited peculiarities, but
also from acquired conditions dependent on the teeth. A person with a
good set of sound teeth will probably own a regular well-formed palate;
whilst if sundry of the upper permanent teeth are lost during the stage
of adolescence, the palate is likely to become high and narrow from the
falling in of the jaw. This is especially the case if the incisor teeth
are lost.
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