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- Title
Variations in the Tensor Veli Palatini Muscle With Special Reference to Its Origin and Insertion.
- Authors
Abe, Masato; Murakami, Gen; Noguchi, Makoto; Kitamura, Seiichiro; Shimada, Kazuyuki; Kohama, Gen-Iku
- Abstract
Objective: Previous research on the tensor veil palatini muscle (TVP) has produced conflicting descriptions of Its functions and topographical relationships with other orofacial structures. The goal of this study was to describe the morphology of the TVP in a systematic and comprehensive manner. Methods: One hundred nineteen sides of 77 human heads from donated cadavers were partially dissected under a binocular microscope. Histological examination of the hard tissue-muscle interfaces was also undertaken. Results: There were two adjacent origins of the TVP: the cranial base origin (CS origin) and the auditory tube cartilage origin (AT origin). The CS origin always lay anterior to the AT origin and there was no septum or loose tissue between the two muscular laminae leading from these origins. The muscle fibers converged on a central tendinous plate in the muscle belly, which gradually became a common tendon that rounded the pterygoid hamulus before Inserting into the palatine aponeurosis. Notably, secondary insertions were found on the maxillary tuber (33.6%) and/or In the submucosal tissue near the palatoglossal arch (37.8%). Maxillary insertions were almost exclusively associated with an AT origin that was wide as or wider than the CB origin. Histological observations confirmed that the hamulus acted purely as a pulley and suggested that a connecting band to the tensor tympani had no or few functions of an intermediate tendon. Conclusions: The NP appears to act as the dilator tuba and that this function can be maintained by preserving or reconstructing the maxillary insertion during push-back surgery, even if hamulotomy is necessary.
- Subjects
MUSCLES; TIMPANI; CARTILAGE; SEPTUM (Brain); TISSUES; TENDONS
- Publication
Cleft Palate Craniofacial Journal, 2004, Vol 41, Issue 5, p474
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1597/02-049.1