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Surgical anatomy of human soft palate.
Laryngoscope. 2013 Nov; 123(11):2900-4.L

Abstract

OBJECTIVES/HYPOTHESIS

The soft palate is composed of several muscles. So far, these muscles have been analyzed separately and the whole structure of the soft palate has been described very vaguely. The purpose of this study was to describe the structure of soft palate collectively.

STUDY DESIGN

Human cadaver dissection.

METHODS

Anatomical dissection was performed on 20 Korean, formalin-fixed cadavers (13 men and 7 women). The heads were randomly assigned to either dissection groups, medial-to-lateral (10 heads) or posterior-to-anterior (10 heads).

RESULTS

Fibro-fatty layer was located in the oral side of the soft palate and became thick and dense along the midline. The levator veli palatini was distributed on the nasal side of the soft palate. The average vertical distance from the top of palatopharyngeal arch to the levator veli palatini was 12.3 ± 5.2 mm. The palatopharyngeus was also spread out widely and filled the palatopharyngeal arch. The periosteum of the hard palate became the fascia of the soft palate, which was merged with the aponeurosis of the tensor veli palatini in the midline. The Passavant's ridge was located between the levator veli palatini and palatopharyngeus, inserting onto the aponeurosis. The palatoglossus was very thin and embedded in the palatoglossal arch.

CONCLUSION

The muscles of the soft palate are intermingled with each other in the fibro-fatty layer. Comprehensive anatomical knowledge is needed to reduce unnecessary damage and obtain good surgical results for obstructive sleep apnea.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Konkuk University, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23686451

Citation

Cho, Jae Hoon, et al. "Surgical Anatomy of Human Soft Palate." The Laryngoscope, vol. 123, no. 11, 2013, pp. 2900-4.
Cho JH, Kim JK, Lee HY, et al. Surgical anatomy of human soft palate. Laryngoscope. 2013;123(11):2900-4.
Cho, J. H., Kim, J. K., Lee, H. Y., & Yoon, J. H. (2013). Surgical anatomy of human soft palate. The Laryngoscope, 123(11), 2900-4. https://doi.org/10.1002/lary.24067
Cho JH, et al. Surgical Anatomy of Human Soft Palate. Laryngoscope. 2013;123(11):2900-4. PubMed PMID: 23686451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical anatomy of human soft palate. AU - Cho,Jae Hoon, AU - Kim,Jin Kook, AU - Lee,Hye-Yeon, AU - Yoon,Joo-Heon, Y1 - 2013/05/17/ PY - 2012/12/09/received PY - 2013/01/22/revised PY - 2013/01/31/accepted PY - 2013/5/21/entrez PY - 2013/5/21/pubmed PY - 2014/1/8/medline KW - Passavant's ridge KW - Soft palate KW - levator veli palatini KW - palatoglossus KW - palatopharyngeus KW - tensor veli palatini SP - 2900 EP - 4 JF - The Laryngoscope JO - Laryngoscope VL - 123 IS - 11 N2 - OBJECTIVES/HYPOTHESIS: The soft palate is composed of several muscles. So far, these muscles have been analyzed separately and the whole structure of the soft palate has been described very vaguely. The purpose of this study was to describe the structure of soft palate collectively. STUDY DESIGN: Human cadaver dissection. METHODS: Anatomical dissection was performed on 20 Korean, formalin-fixed cadavers (13 men and 7 women). The heads were randomly assigned to either dissection groups, medial-to-lateral (10 heads) or posterior-to-anterior (10 heads). RESULTS: Fibro-fatty layer was located in the oral side of the soft palate and became thick and dense along the midline. The levator veli palatini was distributed on the nasal side of the soft palate. The average vertical distance from the top of palatopharyngeal arch to the levator veli palatini was 12.3 ± 5.2 mm. The palatopharyngeus was also spread out widely and filled the palatopharyngeal arch. The periosteum of the hard palate became the fascia of the soft palate, which was merged with the aponeurosis of the tensor veli palatini in the midline. The Passavant's ridge was located between the levator veli palatini and palatopharyngeus, inserting onto the aponeurosis. The palatoglossus was very thin and embedded in the palatoglossal arch. CONCLUSION: The muscles of the soft palate are intermingled with each other in the fibro-fatty layer. Comprehensive anatomical knowledge is needed to reduce unnecessary damage and obtain good surgical results for obstructive sleep apnea. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/23686451/Surgical_anatomy_of_human_soft_palate_ L2 - https://doi.org/10.1002/lary.24067 DB - PRIME DP - Unbound Medicine ER -