P A L A T E
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 1
• Situation – between roof of mouth & floor of nasal cavity
• Arches – before backwards, side to side
• Parts – hard palate & soft palate
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 2
Hard palate
• Formation
• Palatine process of maxilla
• Horizontal plate of palatine
• Coverings
• Upper surface – ciliated columnar epithelium
• Lower surface – keratinized stratified squamous epithelium, mucus secreting
palatine glands, palatal rugosity
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 3
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 4
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 5
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 6
Soft palate
• Fibro-Musculo-glandular curtain, Mucous covered
• Hangs from posterior margin of hard palate
• Extends backwards & downwards between nasal & oral parts of
pharynx
• Parts
• Anterior – fibrous
• Middle – muscular
• Posterior – glandular
• Functions
• Helps in deglutition, speech, blowing air through mouth
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 7
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 8
Presenting parts(relaxed)
• Two surfaces
• Anterior surface
• Posterior surface
• Four borders
• Upper border
• Lower borders (uvula hangs)
• Lateral borders
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 9
Arches from the base of uvula (mucous folds)
• Palato glossal arch
• Palato pharyngeal arch
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 10
Composition of soft palate
(bilaminar fold of mucous membrane contains)
• Palatine aponeurosis
• Palatine muscles (five pairs)
• Nerves & vessels
• Palatine glands
• Upper end of palatine tonsil(sometimes)
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 11
Mucous membrane
• Posterior surface – ciliated columnar
• Anterior surface – non keratinized stratified squamous epithelium
• Pasavant’s ridge
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 12
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 13
Palatine aponeurosis
• Fibrous framework of soft palate
• All palatine muscles are attached here
• It is the expanded tendon of insertion of tensor veli palatini
• On each sides – winds round the lateral pterygoid hammulus with
tensor veli papatini
• In the midline - splits to enclose the musculus uvulae
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 14
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 15
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 16
Palatine muscles (paired)
• Levator veli palatini
• Tensor veli palatini (dilator tubae)
• Musculus uvulae
• Palato pharyngeus
• Palato glossus
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 17
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 18
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 19
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 20
Nerves
• Motor
• Cranial part of accessory nerve through pharyngeal plexus
• Except Tensor veli palatini (by trunk of mandibular nerve through otic ganglion, without relay)
• Secretomotor
• Preganglionic fibres – arise from superior salivatory nucleus and pass through the facial,
greater petrosal, nerve to pterygoid canal; then relay into the pterygo-palatine ganglion
• Postganglionic fibres reach palatine gland via greater & lesser palatine nerves
• Sensory (general)
• Greater & lesser palatine
• Long sphenopalatine
• Glossopharyngeal nerves
• Sensory (special)
• Taste sensation conveyed by the glossopharyngeal & lesser palatine nerves
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 21
Arterial supply
• Greater palatine branch of maxillary artery
• Ascending palatine branch of facial artery
• Palatine branch of ascending pharyngeal artery
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 22
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 23
Venous drainage
• Pharyngeal venous plexus via para-
tonsillar veins
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 24
Lymphatic drainage
• Retropharyngeal LN
• Upper group of deep cervical LN
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 25
Arrangement of structures of soft palate
(above downwards)
• Mucous membrane of naso pharyngeal surface
• A layer of palatine glands
• Anterior fasciculus of palatopharyngeous, levator veli palatini,
posterior fasciculus of palatopharyngeous (before backwards)
• Palatine aponeurosis with splitting in the middle to enclose the
musculus vuvlae
• Palatoglossus
• A layer of palatine glands
• Mucous membrane of buccal surface
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 26
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 27
Thank you
28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 28

the palate - hard palate and soft palate

  • 1.
    P A LA T E 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 1
  • 2.
    • Situation –between roof of mouth & floor of nasal cavity • Arches – before backwards, side to side • Parts – hard palate & soft palate 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 2
  • 3.
    Hard palate • Formation •Palatine process of maxilla • Horizontal plate of palatine • Coverings • Upper surface – ciliated columnar epithelium • Lower surface – keratinized stratified squamous epithelium, mucus secreting palatine glands, palatal rugosity 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 3
  • 4.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 4
  • 5.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 5
  • 6.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 6
  • 7.
    Soft palate • Fibro-Musculo-glandularcurtain, Mucous covered • Hangs from posterior margin of hard palate • Extends backwards & downwards between nasal & oral parts of pharynx • Parts • Anterior – fibrous • Middle – muscular • Posterior – glandular • Functions • Helps in deglutition, speech, blowing air through mouth 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 7
  • 8.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 8
  • 9.
    Presenting parts(relaxed) • Twosurfaces • Anterior surface • Posterior surface • Four borders • Upper border • Lower borders (uvula hangs) • Lateral borders 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 9
  • 10.
    Arches from thebase of uvula (mucous folds) • Palato glossal arch • Palato pharyngeal arch 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 10
  • 11.
    Composition of softpalate (bilaminar fold of mucous membrane contains) • Palatine aponeurosis • Palatine muscles (five pairs) • Nerves & vessels • Palatine glands • Upper end of palatine tonsil(sometimes) 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 11
  • 12.
    Mucous membrane • Posteriorsurface – ciliated columnar • Anterior surface – non keratinized stratified squamous epithelium • Pasavant’s ridge 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 12
  • 13.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 13
  • 14.
    Palatine aponeurosis • Fibrousframework of soft palate • All palatine muscles are attached here • It is the expanded tendon of insertion of tensor veli palatini • On each sides – winds round the lateral pterygoid hammulus with tensor veli papatini • In the midline - splits to enclose the musculus uvulae 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 14
  • 15.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 15
  • 16.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 16
  • 17.
    Palatine muscles (paired) •Levator veli palatini • Tensor veli palatini (dilator tubae) • Musculus uvulae • Palato pharyngeus • Palato glossus 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 17
  • 18.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 18
  • 19.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 19
  • 20.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 20
  • 21.
    Nerves • Motor • Cranialpart of accessory nerve through pharyngeal plexus • Except Tensor veli palatini (by trunk of mandibular nerve through otic ganglion, without relay) • Secretomotor • Preganglionic fibres – arise from superior salivatory nucleus and pass through the facial, greater petrosal, nerve to pterygoid canal; then relay into the pterygo-palatine ganglion • Postganglionic fibres reach palatine gland via greater & lesser palatine nerves • Sensory (general) • Greater & lesser palatine • Long sphenopalatine • Glossopharyngeal nerves • Sensory (special) • Taste sensation conveyed by the glossopharyngeal & lesser palatine nerves 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 21
  • 22.
    Arterial supply • Greaterpalatine branch of maxillary artery • Ascending palatine branch of facial artery • Palatine branch of ascending pharyngeal artery 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 22
  • 23.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 23
  • 24.
    Venous drainage • Pharyngealvenous plexus via para- tonsillar veins 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 24
  • 25.
    Lymphatic drainage • RetropharyngealLN • Upper group of deep cervical LN 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 25
  • 26.
    Arrangement of structuresof soft palate (above downwards) • Mucous membrane of naso pharyngeal surface • A layer of palatine glands • Anterior fasciculus of palatopharyngeous, levator veli palatini, posterior fasciculus of palatopharyngeous (before backwards) • Palatine aponeurosis with splitting in the middle to enclose the musculus vuvlae • Palatoglossus • A layer of palatine glands • Mucous membrane of buccal surface 28-05-2024 15:05 Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 26
  • 27.
    28-05-2024 15:05 AstProfessor(Dr) Asutosh Pramanik, MBBS, MD 27
  • 28.
    Thank you 28-05-2024 15:05Ast Professor(Dr) Asutosh Pramanik, MBBS, MD 28