Soft Palate
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The soft palate (also known as the velum, palatal velum, or muscular palate) is, in
mammal Mammals () are a group of vertebrate animals constituting the class Mammalia (), characterized by the presence of mammary glands which in females produce milk for feeding (nursing) their young, a neocortex (a region of the brain), fur or ...
s, the soft tissue constituting the back of the roof of the mouth. The soft palate is part of the
palate The palate () is the roof of the mouth in humans and other mammals. It separates the oral cavity from the nasal cavity. A similar structure is found in crocodilians, but in most other tetrapods, the oral and nasal cavities are not truly sepa ...
of the mouth; the other part is the
hard palate The hard palate is a thin horizontal bony plate made up of two bones of the facial skeleton, located in the roof of the mouth. The bones are the palatine process of the maxilla and the horizontal plate of palatine bone. The hard palate spans t ...
. The soft palate is distinguished from the hard palate at the front of the mouth in that it does not contain
bone A bone is a Stiffness, rigid Organ (biology), organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red blood cell, red and white blood cells, store minerals, provid ...
.


Structure


Muscles

The five muscles of the soft palate play important roles in swallowing and breathing. The muscles are: #
Tensor veli palatini The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a broad, thin, ribbon-like muscle in the head that tenses the soft palate. Structure The tensor veli palatini is found anterior-lateral to the levator ve ...
, which is involved in
swallowing Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing i ...
#
Palatoglossus The palatoglossus or palatoglossal muscle is a muscle of the soft palate and extrinsic muscle of the tongue. Its surface is covered by oral mucosa and forms the visible palatoglossal arch. Structure Palatoglossus arises from the palatine aponeu ...
, involved in
swallowing Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing i ...
#
Palatopharyngeus The palatopharyngeus (palatopharyngeal or pharyngopalatinus) muscle is a small muscle in the roof of the mouth. It is a long, fleshy fasciculus, narrower in the middle than at either end, forming, with the mucous membrane covering its surface, the ...
, involved in breathing #
Levator veli palatini The levator veli palatini () is the elevator muscle of the soft palate in the human body. It is supplied via the pharyngeal plexus. During swallowing, it contracts, elevating the soft palate to help prevent food from entering the nasopharynx. ...
, involved in
swallowing Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing i ...
#
Musculus uvulae The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also conta ...
, which moves the
uvula The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also conta ...
These muscles are innervated by the pharyngeal plexus via the
vagus nerve The vagus nerve, also known as the tenth cranial nerve, cranial nerve X, or simply CN X, is a cranial nerve that interfaces with the parasympathetic control of the heart, lungs, and digestive tract. It comprises two nerves—the left and right ...
, with the exception of the
tensor veli palatini The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a broad, thin, ribbon-like muscle in the head that tenses the soft palate. Structure The tensor veli palatini is found anterior-lateral to the levator ve ...
. The tensor veli palatini is innervated by the
mandibular division of the trigeminal nerve In neuroanatomy, the mandibular nerve (V) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only aff ...
(V3).


Function

The soft palate is moveable, consisting of
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscl ...
fibers sheathed in
mucous membrane A mucous membrane or mucosa is a membrane that lines various cavities in the body of an organism and covers the surface of internal organs. It consists of one or more layers of epithelial cells overlying a layer of loose connective tissue. It i ...
. It is responsible for closing off the
nasal passages The human nose is the most protruding part of the face. It bears the nostrils and is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones ...
during the act of
swallowing Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing i ...
, and also for closing off the airway. During sneezing, it protects the nasal passage by diverting a portion of the excreted substance to the mouth. In
human Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, culture, ...
s, the
uvula The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also conta ...
hangs from the end of the soft palate. Touching the uvula or the end of the soft palate evokes a strong
gag reflex The pharyngeal reflex or gag reflex is a reflex muscular contraction of the back of the throat, evoked by touching the roof of the mouth, the back of the tongue, the area around the tonsils, the uvula, and the back of the throat. It, along with ot ...
in most people.


Speech

A speech sound made with the middle part of the
tongue The tongue is a muscular organ (anatomy), organ in the mouth of a typical tetrapod. It manipulates food for mastication and swallowing as part of the digestive system, digestive process, and is the primary organ of taste. The tongue's upper surfa ...
(dorsum) touching the soft palate is known as a
velar consonant Velars are consonants articulated with the back part of the tongue (the dorsum) against the soft palate, the back part of the roof of the mouth (known also as the velum). Since the velar region of the roof of the mouth is relatively extensive an ...
. It is possible for the soft palate to retract and elevate during speech to separate the oral cavity (mouth) from the nasal cavity in order to produce the oral speech sounds. If this separation is incomplete, air escapes through the nose, causing speech to be perceived as nasal.


Modelling

Within the microstructure of the soft palate lie a variety of variably-oriented fibers that create a nonuniform surface with a nonuniform density distribution. The tissue has been characterized as viscoelastic, nonlinear, and anisotropic in the direction of the fibers.
Young modulus Young's modulus E, the Young modulus, or the modulus of elasticity in tension or compression (i.e., negative tension), is a mechanical property that measures the tensile or compressive stiffness of a solid material when the force is applied le ...
values range from 585 Pa at the posterior free edge of the soft palate to 1409 Pa where the soft palate attaches to the maxilla. These properties are useful when quantifying the effects of corrective orthopedic devices such as the Hotz Plate on cleft lip. Quantitative analyses have been done on bilateral and unilateral cleft palate to better understand geometric differences in cleft palate throughout the course of its development and correction. Despite the difficulty in finding common, comparable landmarks between normal soft palates and cleft palates, analytical methods have been devised to assess differences in degree of curvature of the alveolar crest, two-dimensional and three-dimensional surface area, and slope of the alveolar crest. Finite element analysis has demonstrated effective modeling of soft-palate extension and movement. It has also been an effective tool for evaluating the craniofacial effects of corrective orthopedic devices and cleft lip.


Clinical significance


Disease

Pathology of the soft palate includes mucosal lesions such as pemphigus vulgaris dsg - 3,
herpangina Herpangina, also called mouth blisters, is a painful mouth infection caused by coxsackieviruses. Usually, herpangina is produced by one particular strain of coxsackie virus A (and the term "herpangina virus" refers to coxsackievirus A), but it can ...
and
migratory stomatitis Geographic tongue, also known by several other terms, is a condition of the mucous membrane of the tongue, usually on the dorsal surface. It is a common condition, affecting approximately 2–3% of the general population. It is characterized by ...
, and
muscular Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscle ...
conditions such as the congenital
cleft palate A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. The te ...
and
cleft uvula The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also conta ...
. Petechiae on the soft palate are mainly associated with streptococcal pharyngitis, and as such it is an uncommon but highly
specific Specific may refer to: * Specificity (disambiguation) * Specific, a cure or therapy for a specific illness Law * Specific deterrence, focussed on an individual * Specific finding, intermediate verdict used by a jury in determining the fina ...
finding. 10 to 30 percent of palatal petechiae cases are estimated to be caused by suction, which can be habitual or secondary to
fellatio Fellatio (also known as fellation, and in slang as blowjob, BJ, giving head, or sucking off) is an oral sex act involving a person stimulating the penis of another person by using the mouth, throat, or both. Oral stimulation of the scrotu ...
.Page 134
in:


Additional images

File:Uvula without tonsils.jpg, Soft palate without tonsils (after
tonsillectomy Tonsillectomy is a list of surgical procedures, surgical procedure in which both palatine tonsils are fully removed from the back of the throat. The procedure is mainly performed for recurrent tonsillitis, throat infections and obstructive sleep ...
) File:Gray994.png, Sagittal section of nose mouth, pharynx, and larynx. File:Gray1014.png, The mouth cavity. The cheeks have been slit transversely and the tongue pulled forward. Gray855.png, Lateral wall of nasal cavity. (Soft palate visible in lower right)


See also

*
Palatine tonsil Palatine tonsils, commonly called the tonsils and occasionally called the faucial tonsils, are tonsils located on the left and right sides at the back of the throat, which can often be seen as flesh-colored, pinkish lumps. Tonsils only present a ...


References


External links


Image at WebMD
* - "Diagram of the regions of the oral cavity." {{Authority control Palate
palate The palate () is the roof of the mouth in humans and other mammals. It separates the oral cavity from the nasal cavity. A similar structure is found in crocodilians, but in most other tetrapods, the oral and nasal cavities are not truly sepa ...
Speech organs he:חך#החך הרך ja:口蓋#軟口蓋