Anatomy: Innervation Of The Palate Flashcards

1
Q

Is the hard palate located anteriorly or posteriorly in the oral cavity?

A

Anteriorly

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2
Q

What is the soft palate composed of?

A

Mucosa that is overlying musculature

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3
Q

How many bones comprise the hard palate and what are they called?

A

Four:
- right maxilla
- left maxilla
- right palatine
- left palatine

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4
Q

What two bones make up the horizontal plate?

A

The right and left palatine bones

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5
Q

Via what suture do the maxillary bones and palatine bones articulate?

A

Median palatine suture

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6
Q

What type of mucosa covers the hard palate?

A

Keratinised stratified squamous epithelium

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7
Q

What type of mucosa covers the soft palate?

A

Non-keratinised stratified squamous epithelium

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8
Q

What is the function of the duct openings of the palatine glands?

A

Allow saliva to flow through hard palate to oral cavity

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9
Q

What is the incisive papilla?

A

Small mound of mucosa that overlays the incisive canal

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10
Q

What are palatal rugae?

A

Little ridges associated with the hard palate

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11
Q

What is the function of palatal rugae?

A

Involved in mechanical breakdown of food

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12
Q

What does raphe signify? ( e.g. palatine raphe)

A

Term used for between right-hand and left-hand structures that join

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13
Q

A condition where there is a defect in development of the palate. Specifically due to failure of the lateral palatine processes to meet and fuse

A

Cleft palate

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14
Q

What are the three main nerves of the palate?

A
  • nasopalatine nerve
  • greater palatine nerve
  • lesser palatine nerve
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15
Q

What is the nasopalatine nerve a branch of?

A

CN V2

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16
Q

Which nerve scented anteriorly over the hard palate?

A

Greater palatine nerve

17
Q

Which nerve extends posteriorly over the soft palate?

A

Lesser palatine nerve

18
Q

What foramen does the branch of the nasopalatine nerve pass through?

A

Incisive foramen

19
Q

What tissues does the nasopalatine nerve supply?

A

The palatal gingivae of anterior teeth and mucosa of anterior palate

20
Q

Describe the lymphatic drainage of the anterior hard palate

A

Drains first to the submandibular lymph nodes, then to the deep cervical lymph nodes

21
Q

Describe the two routes of lymphatic drainage of the posterior hard palate and soft palate

A
  1. Drains first to retropharyngeal lymph nodes, then to deep cervical lymph nodes
    OR
  2. Drains directly to deep cervical lymph nodes
22
Q

What are the two arches of the soft palate called?

A
  • palatoglossal arch
  • palatopharyngeal arch
23
Q

Name the five muscles of the soft palate

A
  • levator veli palatini
  • tensor veli palatini
  • palatoglossus
  • palatopharyngeus
  • muscular uvulae
24
Q

What cranial nerves innervate the majority of the soft palate muscles?

A

CN X/XI

25
Q

Which soft palate muscle is not innervated by CN X/XI?

A

Tensor veli palatini

26
Q

What cranial nerve innervates tensor veli palatini?

A

CN V3

27
Q

The point where the tensor palatini muscle tendons join in the soft palate is known as?

A

Palatine aponeurosis

28
Q

What is the superior attachment of the tensor veli palatini?

A

Sphenoid bone

29
Q

Which soft palate muscle’s tendon turns medially around the pterygoid hamulus to enter the soft palate?

A

Tensor veli palatini

30
Q

What are the levator veli palatini’s attachments

A

From petrous temporal bone to soft palate

31
Q

What are the main muscles of the pharynx?

A
  • salpingopharyngeus
  • palatopharyngeus
  • superior constrictor
  • middle constrictor
32
Q

The longitudinal muscle of the pharynx wall that extends from the opening of the eustachian tube

A

Salpingopharyngeus

33
Q

The flap of tissue that sits beneath the tongue at the back of the throat

A

Epiglottis

34
Q

What is the main function of the epiglottis?

A

Closes over trachea whilst eating so that food does not enter airway

35
Q

How would you clinically test the vagus nerve?

A
  • ask patient to say ‘Aahh’
  • if uvula lifts up straight in midline, nerve is fully functioning
  • if uvula pulls to one side, there is a unilateral nerve pathology on the opposite side from where it’s pulled
36
Q

What are the functions of the soft palate?

A
  1. Stop food entering nose during swallowing
  2. Directs air into nose or mouth during speech, sneezing, coughing and vomiting
  3. Helps to close off entrance into oropharynx during gag reflex