Innervation of human soft palate muscles.


Journal

Anatomical record (Hoboken, N.J. : 2007)
ISSN: 1932-8494
Titre abrégé: Anat Rec (Hoboken)
Pays: United States
ID NLM: 101292775

Informations de publication

Date de publication:
05 2021
Historique:
revised: 07 07 2020
received: 29 04 2020
accepted: 05 08 2020
pubmed: 10 10 2020
medline: 14 7 2021
entrez: 9 10 2020
Statut: ppublish

Résumé

Our objective was to determine the branching and distribution of the motor nerves supplying the human soft palate muscles. Six adult specimens of the soft palate in continuity with the pharynx, larynx, and tongue were processed with Sihler's stain, a technique that can render large specimens transparent while counterstaining their nerves. The cranial nerves were identified and dissection followed their branches as they divided into smaller divisions toward their terminations in individual muscles. The results showed that both the glossopharyngeal (IX) and vagus (X) nerves have three distinct branches, superior, middle, and inferior. Only the middle branches of each nerve contributed to the pharyngeal plexus to which the facial nerve also contributed. The pharyngeal plexus was divided into two parts, a superior innervating the palatal and neighboring muscles and an inferior innervating pharyngeal constrictors. The superior branches of the IX and X nerves contributed innervation to the palatoglossus, whereas their middle branches innervated the palatopharyngeus. The palatoglossus and palatopharyngeus muscles appeared to be composed of at least two neuromuscular compartments. The lesser palatine nerve not only supplied the palatal mucosa and palatine glandular tissue but also innervated the musculus uvulae, palatopharyngeus, and levator veli palatine. The latter muscle also received its innervation from the superior branch of X nerve. The findings would be useful for better understanding the neural control of the soft palate and for developing novel neuromodulation therapies to treat certain upper airway disorders such as obstructive sleep apnea.

Identifiants

pubmed: 33034133
doi: 10.1002/ar.24531
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1054-1070

Subventions

Organisme : NIH HHS
ID : 5R01 DC014679
Pays : United States

Informations de copyright

© 2021 American Association for Anatomy.

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Auteurs

Liancai Mu (L)

From Upper Airway Research Laboratory, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.

Jingming Chen (J)

From Upper Airway Research Laboratory, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.

Jing Li (J)

From Upper Airway Research Laboratory, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.

Mary Fowkes (M)

Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Brian Benson (B)

Department Otolaryngology, Hackensack University Medical Center, Hackensack, New Jersey, USA.

Themba Nyirenda (T)

From Upper Airway Research Laboratory, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.

Stanislaw Sobotka (S)

From Upper Airway Research Laboratory, Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, New Jersey, USA.
Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Mark Christopherson (M)

Cryosa Inc, Shoreview, Minnesota, USA.

Ira Sanders (I)

Linguaflex, Inc, Pittsburgh, Pennsylvania, USA.

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