Helwany Muhammad, Rathee Manu
Michigan State University College of Osteopathic Medicine
Pandit B. D. Sharma University of Health Sciences
Proper palate formation in the developing fetus is essential for functional phonation and feeding after birth. The palate forms the roof of the mouth and separates the oral cavity from the nasal cavity. The palate undergoes complex morphological changes during embryogenesis to achieve its final form and divides into an anterior immobile hard bony segment and a posterior mobile soft palate that does not contain bone. The superior aspect of the palate forms the floor of the nasal cavities and has a lining of ciliated pseudostratified columnar epithelium (respiratory epithelium). The inferior aspect of the palate forms the roof of the oral cavity and is lined with stratified squamous epithelium (oral mucosa) that contains secretory salivary glands. The hard palate comprises about two-thirds of the total palate surface area, and its underlying bony structure consists of the palatine processes of the maxilla and the horizontal plates of the palatine bones. The soft palate is comprised of muscle fibers covered by a mucus membrane, specifically five muscles which have a functional role in breathing and swallowing: : Levator veli palatini muscle: elevates the soft palate and is involved in swallowing. Musculus uvulae muscle: functions to shorten the uvula. Palatoglossus muscle: pulls the soft palate towards the tongue and is involved in swallowing. Palatopharyngeus muscle: tenses the soft palate and draws the pharynx anteriorly, involved in breathing. Tensor veli palatini muscle: tenses the soft palate and is involved in swallowing.
发育中的胎儿腭部正常形成对于出生后的功能性发声和进食至关重要。腭构成口腔顶部,将口腔与鼻腔分隔开。在胚胎发生过程中,腭经历复杂的形态变化以形成其最终形态,并分为前部固定的硬骨段和后部可移动的不含骨的软腭。腭的上表面构成鼻腔底部,内衬纤毛假复层柱状上皮(呼吸道上皮)。腭的下表面构成口腔顶部,内衬含有分泌性唾液腺的复层鳞状上皮(口腔黏膜)。硬腭约占腭总面积的三分之二,其下方的骨结构由上颌骨的腭突和腭骨的水平板组成。软腭由被粘膜覆盖的肌纤维组成,具体包括五块在呼吸和吞咽中起作用的肌肉:腭帆提肌:提升软腭并参与吞咽。悬雍垂肌:作用是缩短悬雍垂。腭舌肌:将软腭拉向舌头并参与吞咽。腭咽肌:使软腭紧张并将咽部向前牵拉,参与呼吸。腭帆张肌:使软腭紧张并参与吞咽。