We investigated the effects of various stimuli on the afferent and efferent branches of the glossopharyngeal nerve in the rat soft palate. One of the sensory components, the lingual branch, responded to tactile stimulation, while the LVP branch responded to stretching of the levator veli palatini muscle. We also obtained physiological and morphological evidence of the existence of muscle spindles in the levator veli palatini muscle and showed that tactile stimulation of the contralateral soft palate and stretching of the contralateral LVP modulated discharges from the motor component of the ipsilateral levator veli palatini muscle. Our results suggest that these receptor units with both sensory and motor efferents may be the main determinants of modulation of respiratory movements in the upper airway by the IXth nerve.
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http://dx.doi.org/10.1016/0361-9230(92)90224-l | DOI Listing |
Cleft Palate Craniofac J
December 2024
Phoenix Children's Center for Cleft and Craniofacial, Phoenix Children's Hospital a Division of Plastic Surgery, Phoenix, AZ, USA.
Objective: Describe surgical decision making and outcomes in a series of patients with persistent VPI after pharyngeal flap placement that were all treated with revision palatoplasty.
Design: Retrospective, case series.
Participants: Five patients with nonsyndromic cleft palate and persistent hypernasality following a pharyngeal flap.
Cleft Palate Craniofac J
December 2024
Division of Plastic Surgery, University of Virginia Health System, Charlottesville, VA, USA.
Objective: Velopharyngeal insufficiency (VPI) poses challenges for normal speech production, often necessitating surgical intervention. Determining optimal candidates for surgery remains complex and requires a nuanced understanding of underlying anatomic factors contributing to VPI. This study aimed to identify anatomic predictors that drive surgical recommendations for VPI.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Department of Otolaryngology Head and Neck Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address:
Objectives: The parapharyngeal space (PPS) and infratemporal fossa (ITF) present significant challenges for endoscopic skull base surgery due to their complex anatomy and lack of clear bony landmarks. This study aims to propose a systematic compartmentalization of the PPS and ITF, based on key anatomical structures, to optimize surgical planning and approaches.
Methods: To retain a precise bony reference framework, the walls of the maxillary sinus and pterygoid bone were preserved.
J Nippon Med Sch
November 2024
Department of Otolaryngology, Head and Neck Surgery, Nippon Medical School.
Background: We aimed to investigate the contribution of the palatopharyngeal muscle (PP) as a speech muscle in adjusting the velar position.
Methods: X-ray kinematic analysis of the position of the palatopharyngeal arch and an electromyographic study of the PP during speech were performed in two healthy volunteers.
Results: X-ray kinematic analysis revealed that the palatopharyngeal arch was positioned lower during the production of the low-back vowel /a/.
J Speech Lang Hear Res
December 2024
Department of Human Services, University of Virginia, Charlottesville.
Purpose: Finite element (FE) models have emerged as a powerful method to study biomechanical complexities of velopharyngeal (VP) function. However, existing models have overlooked the active contributions of the lateral pharyngeal wall (LPW) in VP closure. This study aimed to develop and validate a more comprehensive FE model of VP closure to include the superior pharyngeal constrictor (SPC) muscle within the LPW as an active component of VP closure.
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