AI Article Synopsis
- The text discusses the importance of the palatopharyngeus muscle in otolaryngology, emphasizing the need for more conservative surgical techniques based on its anatomy and neural supply.
- It highlights that the muscle is primarily innervated by the pharyngeal plexus and lesser palatine nerves, which enter through its lateral border.
- The conclusions suggest that the muscle is crucial for swallowing and speech, and calls for a reevaluation of pharyngoplasty procedures to align with a conservative and anatomically-focused approach for treating obstructive sleep apnea (OSA).
Article Abstract
Objectives: The author discusses current otolaryngological procedures employing the palatopharyngeus muscle, based on the surgical anatomy of the muscle and its neural supply. These techniques should be deeply revised for more conservative, anatomically-based maneuvers.
Methods: Revision of anatomical and surgical research and comments with the provision of a primary concept.
Results: The palatopharyngeus muscle is innervated by the pharyngeal plexus (the vagus and the accessory nerves) with additional fibers from the lesser palatine nerves. The innervation enters the muscle mainly through its lateral border.
Conclusions: The palatopharyngeus muscle has a fundamental role in swallowing and speech. The muscle helps other dilators to maintain upper airway patency. Sphincter pharyngoplasty should be revised as regards its role as a sphincter. Palatopharyngeal procedures for OSA employing the palatopharyngeus muscle should follow the conservative, anatomically-based, and non-neural ablation concept.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211166 | PMC |
| http://dx.doi.org/10.1007/s00405-024-08652-7 | DOI Listing |
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