The Velopharyngeal Mechanism: an Electromyographic Study

Total Page:16

File Type:pdf, Size:1020Kb

The Velopharyngeal Mechanism: an Electromyographic Study City University of New York (CUNY) CUNY Academic Works All Dissertations, Theses, and Capstone Projects Dissertations, Theses, and Capstone Projects 1973 The Velopharyngeal Mechanism: An Electromyographic Study Fredericka Bell-Berti The Graduate Center, City University of New York How does access to this work benefit ou?y Let us know! More information about this work at: https://academicworks.cuny.edu/gc_etds/2197 Discover additional works at: https://academicworks.cuny.edu This work is made publicly available by the City University of New York (CUNY). Contact: [email protected] INFORMATION TO USERS This material was produced from a microfilm copy of the original document. While the most advanced technological means to photograph and reproduce this document have been used, the quality is heavily dependent upon the quality of the original submitted. The following explanation of techniques is provided to help you understand markings or patterns which may appear on this reproduction. 1.T he sign or "target" for pages apparently lacking from the document photographed is "Missing Page(s)". If it was possible to obtain the missing page(s) or section, they are spliced into the film along with adjacent pages. This may have necessitated cutting thru an image and duplicating adjacent pages to insure you complete continuity. 2. When an image on the film is obliterated with a large round black mark, it is an indication that the photographer suspected that the copy may have moved during exposure and thus cause a blurred image. You will find a good image of the page in the adjacent frame. 3. When a map, drawing or chart, etc., was part of the material being photographed the photographer followed a definite method in "sectioning" the material. It is customary to begin photoing at the upper left hand corner of a large sheet and to continue photoing from left to right in equal sections with a small overlap. If necessary, sectioning is continued again — beginning below the first row and continuing on until complete. 4. The majority of users indicate that the textual content is of greatest value, however, a somewhat higher quality reproduction could be made from "photographs" if essential to the understanding of the dissertation. Silver prints of "photographs" may be ordered at additional charge by writing the Order Department, giving the catalog number, title, author and specific pages you wish reproduced. 5. PLEASE NOTE: Some pages may have indistinct print. Filmed as received. Xerox University Microfilms 300 North Zeeb Road Ann Arbor, Michigan 48106 I I 73-20,157 BELL-BERTI, Fredericks, 19M-5- THE VELOPHARYNGEAL MECHANISM: AN ELECTROMYOGRAPHIC STUDY. The City University of New York, Ph.D., 1973 Speech Pathology University Microfilms, A XERQKCompany, Ann Arbor, Michigan © COPYRIGHT BY FREDERICKA BELL-BERTI 1973 THE VELOPHARYNGEAL MECHANISM: AN ELECTROMYOGRAPHIC STUDY by FREDERICKA BELL-BERTI A dissertation submitted to the Graduate Faculty in Speech and Hearing Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy, The City University of New York. 1973 This manuscript has been read and accepted for the Graduate Faculty of Speech and Hearing Sciences in satisfaction of the dissertation requirement for the degree of Doctor of Philosophy. [signature] date Katherine S. Harris Chairman of Examining Committee [signature] ^ ^ ) Y ) a a q L date Norma S. Rees Executive Officer [signature] Haj imp [signature] Norma S. Rees [signature] Michael Studdert-Kennedy ' Supervisory Committee [signature] " 1 Dennis Klatt Outside Examiner ACKNOWLEDGMENTS At the finish of his thesis a student finds that he is indebted to many people who were instrumental in its creation and execution. The following words are, then, but a meager public acknowledgment of a towering personal debt. First I must express my gratitude to Katherine Safford Harris, whose unceasing faith, patience, and gentle guidance were invaluable not only in this study but also in my intellectual development. Her belief in me made this work possible. A special thank you must go to Hajime Hirose, whose energies and skill were an integral part of this research and whose counsel in inter­ preting the data was immeasureable. I thank Michael Studdert-Kennedy for his very careful reading of this thesis. His challenging comments on the conclusions and his assistance in clarifying the texts of Chapters III and IV were invaluable. I am especially indebted to Norma S. Rees, who has been both a thought­ ful reader of this thesis and an inspiring teacher throughout my graduate education. Lawrence J. Raphael deserves an enormous "thank you," for his essen­ tial role in this study and for his warm encouragement. I am particularly indebted to the staff of Haskins Laboratories, and to Franklin S. Cooper, president of the laboratories. This study would not have been possible without the laboratories very sophisticated EMG data collection and processing system. Leigh Lisker and Arthur S. Abramson pro­ vided helpful comments on the implications of the data. Diane Kewley-Port provided both the programs for processing the EMG data and endless hours of assistance in their use as well as information on the reliability of the data. I must thank her, too, for her very helpful questions about the Import of the data. David Zeichner and Richard Sharkany operated the recording system and maintained the record and playback systems in a state of constant readiness. Agnes McKeon's suggestions for the preparation of the figures were invaluable. I am especially grateful to Sabina Koroluk for the careful preparation of this manuscript and for suggestions about figure preparation, and to Christina LaColla for the painstaking prepara­ tion of the tables. Finally, I am grateful to the National Institute of Dental Research, whose support made this study possible through grant NIDR DE 01774. I owe an incalculable debt to my mother, Helvi M. Bell, for a lifetime of unceasing encouragement. Her loving support, coupled with her insistance upon personal integrity and satisfaction have been a continuing source of inspiration. Without her, I could not have reached this point. Lastly, I must thank Ronald Berti, whose patience, encouragement, love, and understanding nurtured the strength with which this work was completed. Without him, I would not have reached this point. Fredericka Bell-Berti New York, New York April, 1973 TABLE OF CONTENTS page Acknowledgments i List of Tables vii List of Illustrations viii Chapter I. Introduction 1 Anatomy 2 The Muscles 3 levator veli palatini 3 palatoglossus 4 palatopharyngeus 4 superior pharyngeal constrictor 5 middle pharyngeal constrictor 6 sternohyoid 6 Research Techniques 6 Direct Viewing Techniques 7 Indirect Viewing Techniques 8 History 9 Oral-Nasal Articulation 11 The Passavant's Pad Question 11 Critical Velopharyngeal Port Size 12 Oral and Nasal Gesture Mechanisms 15 Nasal Coarticulation 18 Nonnasal Phonetic Variation 21 Vowels and Velopharyngeal Variation 21 Voicing and Velopharyngeal Variation: Phonological Theories 23 iii TABLE OF CONTENTS (cont'd) Page Voicing and Velopharyngeal Variation: Physiological Studies 26 The Problem 29 Footnotes 31 Chapter II. Methods and Instrumentation 37 The Electrodes 38 Electrode Preparation 38 Subject Preparation 39 Insertions and Placement Verification 39 levator palatini 39 superior constrictor 40 middle constrictor 40 palatoglossus 40 palatopharyngeus 40 sternohyoid 41 Oral and Nasal Articulation Stimuli 41 Data Collection and Processing 43 The Record - Playback System 43 The Programs 46 ESEL 46 ECHK 46 ERIT 47 E$MGSUMS 47 E$MGPAGE 47 E$MGPL0T 47 E$MGDISP 47 TABLE OF CONTENTS (cont'd) Page Chapter II. (cont'd) Subjects 47 Footnotes 49 Chapter III. Results 52 Preliminary 53 Oral-Nasal Articulation 55 levator palatini 55 superior constrictor 57 middle constrictor 58' palatoglossus 60 palatopharyngeus 60 sternohyoid 61 Nonnasal Phonetic Variations 61 levator palatini 61 superior constrictor 63 middle constrictor 63 palatoglossus 65 palatopharyngeus 66 sternohyoid 66 Footnotes 68 Chapter IV. Discussion 166 Oral and Nasal Articulation 167 Oral Articulation 167 Nasal Articulation 170 Nonnasal Phonetic Variation 172 Vowel Color 172 v TABLE OF CONTENTS (cont'd) Page Voicing Distinctions 174 Place of Articulation 178 Individual Differences 179 Footnote 181 Chapter V. Summary 185 Appendix 188 Bibliography 190 LIST OF TABLES i Page Table 1 Evaluation of Experimental Sessions 50 Table 2 Averaged Acoustic Segment Durations 69 Table 3 Levator Palatini Peaks : Stop-Nasal vs. Nasal--Stop Contrasts 71 Table 4 Levator Palatini: Stop Consonant Peaks 72 Table 5 Superior Constrictor: Vowel Values (FBB) 73 Table 6 Superior Constrictor: Vowel Values (KSH) 74 Table 7 Superior Constrictor: Vowel Values (LJR) 75 Table 8 Middle Constrictor: Vowel Values (FBB) 76 Table 9 Middle Constrictor: Vowel Values (KSH) 77 Table 10 Middle Constrictor: Vowel Values (LJR) 78 Table 11 Levator Palatini: Vowel Values (FBB) 79 Table 12 Levator Palatini: Vowel Values (KSH) 80 Table 13 Levator Palatini: Vowel Values (LJR) 81 Table 14 Superior Constrictor: Stop Consonant Values 82 Table 15 Middle Constrictor: Stop Consonant Values 83 Table 16 Palatoglossus: Vowel Values (FBB) 84 Table 17 Palatoglossus: Vowel Values (KSH) 85 Table 18 Palatoglossus: Vowel Values (LJR) 86 Table 19 Palatoglossus: Stop Consonant Values 87 Table 20 Palatopharyngeus: Vowel Values (FBB) 88 Table 21 Palatopharyngeus: Vowel Values (KSH) 89 Table 22 Palatopharyngeus: Vowel Values (LJR) 90
Recommended publications
  • The Myloglossus in a Human Cadaver Study: Common Or Uncommon Anatomical Structure? B
    Folia Morphol. Vol. 76, No. 1, pp. 74–81 DOI: 10.5603/FM.a2016.0044 O R I G I N A L A R T I C L E Copyright © 2017 Via Medica ISSN 0015–5659 www.fm.viamedica.pl The myloglossus in a human cadaver study: common or uncommon anatomical structure? B. Buffoli*, M. Ferrari*, F. Belotti, D. Lancini, M.A. Cocchi, M. Labanca, M. Tschabitscher, R. Rezzani, L.F. Rodella Section of Anatomy and Physiopathology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy [Received: 1 June 2016; Accepted: 18 July 2016] Background: Additional extrinsic muscles of the tongue are reported in literature and one of them is the myloglossus muscle (MGM). Since MGM is nowadays considered as anatomical variant, the aim of this study is to clarify some open questions by evaluating and describing the myloglossal anatomy (including both MGM and its ligamentous counterpart) during human cadaver dissections. Materials and methods: Twenty-one regions (including masticator space, sublin- gual space and adjacent areas) were dissected and the presence and appearance of myloglossus were considered, together with its proximal and distal insertions, vascularisation and innervation. Results: The myloglossus was present in 61.9% of cases with muscular, ligamen- tous or mixed appearance and either bony or muscular insertion. Facial artery pro- vided myloglossal vascularisation in the 84.62% and lingual artery in the 15.38%; innervation was granted by the trigeminal system (buccal nerve and mylohyoid nerve), sometimes (46.15%) with hypoglossal component. Conclusions: These data suggest us to not consider myloglossus as a rare ana- tomical variant.
    [Show full text]
  • Ear Pain in Patients with Oropharynx Carcinoma: Karlt.Beer Peter Vock How MRI Contributes to the Explanation Richard H
    Eur Radiol (2004) 14:2206–2211 DOI 10.1007/s00330-004-2340-2 HEAD AND NECK Harriet C. Thoeny Ear pain in patients with oropharynx carcinoma: KarlT.Beer Peter Vock how MRI contributes to the explanation Richard H. Greiner of a prognostic and predictive symptom Received: 22 October 2003 Abstract Reflex otalgia is a predic- glossus muscle, stylopharyngeus Revised: 11 March 2004 tive and prognostic parameter for lo- muscle, hyoglossus muscle and pre- Accepted: 5 April 2004 cal control in patients with orophar- epiglottic space. No difference was Published online: 1 May 2004 ynx carcinoma. Can a morphologic found for the muscles of mastication, © Springer-Verlag 2004 correlate of this important symptom levator and tensor veli palatini mus- be detected by MRI? Thirty-six pa- cles, styloglossus muscle, genioglos- tients were prospectively evaluated sus muscle, intrinsic muscles of the by MRI before radical radiotherapy. tongue, digastric muscles, mucosal Sixteen patients had reflex otalgia; surface of the lateral and posterior 20 did not. The oropharynx and adja- pharyngeal wall, uvula, valleculae, cent regions were analyzed. Alter- parapharyngeal space and larynx. An ation was defined as effacement of alteration of structures innervated by H. C. Thoeny (✉) · P. Vock anatomical structures, signal alter- the glossopharyngeal nerve was vi- Department of Diagnostic Radiology, ation or enhancement after contrast sualized on MRI significantly more Inselspital, χ2 University of Bern, medium administration. The -test often when reflex otalgia was pres- Freiburgstrasse 10, 3010 Bern, Switzerland was used to compare categorical pa- ent. Involvement of structures inner- e-mail: [email protected], rameters. In patients with reflex vated by other cranial nerves did not [email protected] otalgia, alteration of the following show the same association with ear Tel.: +41-31-6322939 structures innervated by the glosso- pain.
    [Show full text]
  • Volume 1: the Upper Extremity
    Volume 1: The Upper Extremity 1.1 The Shoulder 01.00 - 38.20 (37.20) 1.1.1 Introduction to shoulder section 0.01.00 0.01.28 0.28 1.1.2 Bones, joints, and ligaments 1 Clavicle, scapula 0.01.29 0.05.40 4.11 1.1.3 Bones, joints, and ligaments 2 Movements of scapula 0.05.41 0.06.37 0.56 1.1.4 Bones, joints, and ligaments 3 Proximal humerus 0.06.38 0.08.19 1.41 Shoulder joint (glenohumeral joint) Movements of shoulder joint 1.1.5 Review of bones, joints, and ligaments 0.08.20 0.09.41 1.21 1.1.6 Introduction to muscles 0.09.42 0.10.03 0.21 1.1.7 Muscles 1 Long tendons of biceps, triceps 0.10.04 0.13.52 3.48 Rotator cuff muscles Subscapularis Supraspinatus Infraspinatus Teres minor Teres major Coracobrachialis 1.1.8 Muscles 2 Serratus anterior 0.13.53 0.17.49 3.56 Levator scapulae Rhomboid minor and major Trapezius Pectoralis minor Subclavius, omohyoid 1.1.9 Muscles 3 Pectoralis major 0.17.50 0.20.35 2.45 Latissimus dorsi Deltoid 1.1.10 Review of muscles 0.20.36 0.21.51 1.15 1.1.11 Vessels and nerves: key structures First rib 0.22.09 0.24.38 2.29 Cervical vertebrae Scalene muscles 1.1.12 Blood vessels 1 Veins of the shoulder region 0.24.39 0.27.47 3.08 1.1.13 Blood vessels 2 Arteries of the shoulder region 0.27.48 0.30.22 2.34 1.1.14 Nerves The brachial plexus and its branches 0.30.23 0.35.55 5.32 1.1.15 Review of vessels and nerves 0.35.56 0.38.20 2.24 1.2.
    [Show full text]
  • Functional Anatomy of the Soft Palate Applied to Wind Playing
    Review Functional Anatomy of the Soft Palate Applied to Wind Playing Alison Evans, MMus, Bronwen Ackermann, PhD, and Tim Driscoll, PhD Wind players must be able to sustain high intraoral pressures in dition occurs because of a structural deformity, such as with order to play their instruments. Prolonged exposure to these high cleft palate. It is also associated with some other speech dis- pressures may lead to the performance-related disorder velopharyn- orders. VPI occurs when the soft palate fails to completely geal insufficiency (VPI). This disorder occurs when the soft palate fails to completely close the air passage between the oral and nasal close the oronasal cavity while attempting to blow air through cavities in the upper respiratory cavity during blowing tasks, this clo- the mouth, resulting in air escaping from the nose.5 Without sure being necessary for optimum performance on a wind instru- a tight air seal, the air passes into the nasal cavity and can ment. VPI is potentially career threatening. Improving music teach- then escape out the nose. This has a disastrous effect on wind ers’ and students’ knowledge of the mechanism of velopharyngeal playing, as the power behind the wind musicians’ sound closure may assist in avoiding potentially catastrophic performance- related disorders arising from dysfunction of the soft palate. In the relies on enough controlled expired air through the mouth. functional anatomy of the soft palate as applied to wind playing, Understandably, this disorder may potentially end the musi- seven muscles of the soft palate involved in the velopharyngeal clo- cian’s career.6 sure mechanism are reviewed.
    [Show full text]
  • Atlas of the Facial Nerve and Related Structures
    Rhoton Yoshioka Atlas of the Facial Nerve Unique Atlas Opens Window and Related Structures Into Facial Nerve Anatomy… Atlas of the Facial Nerve and Related Structures and Related Nerve Facial of the Atlas “His meticulous methods of anatomical dissection and microsurgical techniques helped transform the primitive specialty of neurosurgery into the magnificent surgical discipline that it is today.”— Nobutaka Yoshioka American Association of Neurological Surgeons. Albert L. Rhoton, Jr. Nobutaka Yoshioka, MD, PhD and Albert L. Rhoton, Jr., MD have created an anatomical atlas of astounding precision. An unparalleled teaching tool, this atlas opens a unique window into the anatomical intricacies of complex facial nerves and related structures. An internationally renowned author, educator, brain anatomist, and neurosurgeon, Dr. Rhoton is regarded by colleagues as one of the fathers of modern microscopic neurosurgery. Dr. Yoshioka, an esteemed craniofacial reconstructive surgeon in Japan, mastered this precise dissection technique while undertaking a fellowship at Dr. Rhoton’s microanatomy lab, writing in the preface that within such precision images lies potential for surgical innovation. Special Features • Exquisite color photographs, prepared from carefully dissected latex injected cadavers, reveal anatomy layer by layer with remarkable detail and clarity • An added highlight, 3-D versions of these extraordinary images, are available online in the Thieme MediaCenter • Major sections include intracranial region and skull, upper facial and midfacial region, and lower facial and posterolateral neck region Organized by region, each layered dissection elucidates specific nerves and structures with pinpoint accuracy, providing the clinician with in-depth anatomical insights. Precise clinical explanations accompany each photograph. In tandem, the images and text provide an excellent foundation for understanding the nerves and structures impacted by neurosurgical-related pathologies as well as other conditions and injuries.
    [Show full text]
  • Appendix B: Muscles of the Speech Production Mechanism
    Appendix B: Muscles of the Speech Production Mechanism I. MUSCLES OF RESPIRATION A. MUSCLES OF INHALATION (muscles that enlarge the thoracic cavity) 1. Diaphragm Attachments: The diaphragm originates in a number of places: the lower tip of the sternum; the first 3 or 4 lumbar vertebrae and the lower borders and inner surfaces of the cartilages of ribs 7 - 12. All fibers insert into a central tendon (aponeurosis of the diaphragm). Function: Contraction of the diaphragm draws the central tendon down and forward, which enlarges the thoracic cavity vertically. It can also elevate to some extent the lower ribs. The diaphragm separates the thoracic and the abdominal cavities. 2. External Intercostals Attachments: The external intercostals run from the lip on the lower border of each rib inferiorly and medially to the upper border of the rib immediately below. Function: These muscles may have several functions. They serve to strengthen the thoracic wall so that it doesn't bulge between the ribs. They provide a checking action to counteract relaxation pressure. Because of the direction of attachment of their fibers, the external intercostals can raise the thoracic cage for inhalation. 3. Pectoralis Major Attachments: This muscle attaches on the anterior surface of the medial half of the clavicle, the sternum and costal cartilages 1-6 or 7. All fibers come together and insert at the greater tubercle of the humerus. Function: Pectoralis major is primarily an abductor of the arm. It can, however, serve as a supplemental (or compensatory) muscle of inhalation, raising the rib cage and sternum. (In other words, breathing by raising and lowering the arms!) It is mentioned here chiefly because it is encountered in the dissection.
    [Show full text]
  • Palatoglossus Muscle Stimulation for Treatment of Obstructive Sleep Apnea
    Palatoglossus Muscle Stimulation for Treatment of Obstructive Sleep Apnea Summary A Vanderbilt researcher has developed a device to stimulate the palatoglossus muscle in order to treat sleep apnea. This has the potential to treat patients who have failed to succeed with current sleep apnea treatments. Addressed Need Hypoglossal nerve stimulation (HNS) has been established as an effective form of treatment for patients with obstructive sleep apnea who cannot tolerate positive airway pressure. HNS works by stiffening the tongue muscles to increase pharyngeal airway size. However, patients with significant retropalatal airway collapse are not candidates for HNS offered in the US. This new treatment would provide these patients with an alternative therapy method to combat sleep apnea. Unique Features Electrical stimulation of the nerve to the palatoglossus muscle Potential to dilate retropalatal space and reduce obstructive sleep apnea Can treat patients who may be unsuccessful with other sleep apnea treatments Technology Description The palatoglossus muscle forms the anterior tonsillar pillar. It approximates the tongue and soft palate, sealing off the oral cavity and dilating the retropalatal space. This muscle is innervated by branches of the pharyngeal plexus and functions independently of the hypoglossal nerve innervating the remaining tongue musculature. Electrical stimulation of the nerve to the palatoglossus muscle has the potential to dilate the retropalatal space and reduce the burden of obstructive sleep apnea. Technology Development Status The treatment process has been designed, and physiological studies are pending. Cadaveric studies are being completed to evaluate the accessibility of the palatoglossus muscle through the neck. Intellectual Property Status A patent application has been filed.
    [Show full text]
  • Anatomy and Physiology of the Velopharyngeal Mechanism
    Anatomy and Physiology of the Velopharyngeal Mechanism Jamie L. Perry, Ph.D.1 ABSTRACT Understanding the normal anatomy and physiology of the velopharyngeal mechanism is the first step in providing appropriate diagnosis and treatment for children born with cleft lip and palate. The velopharyngeal mechanism consists of a muscular valve that extends from the posterior surface of the hard palate (roof of mouth) to the posterior pharyngeal wall and includes the velum (soft palate), lateral pharyngeal walls (sides of the throat), and the posterior pharyngeal wall (back wall of the throat). The function of the velopharyngeal mechanism is to create a tight seal between the velum and pharyngeal walls to separate the oral and nasal cavities for various purposes, including speech. Velopharyngeal closure is accomplished through the contraction of several velopharyngeal muscles including the levator veli palatini, musculus uvulae, superior pharyngeal con- strictor, palatopharyngeus, palatoglossus, and salpingopharyngeus. The tensor veli palatini is thought to be responsible for eustachian tube function. KEYWORDS: Anatomy, physiology, velopharyngeal muscles, cleft palate anatomy Downloaded by: SASLHA. Copyrighted material. Learning Outcomes: As a result of this activity, the reader will be able to (1) list the major muscles of the velopharyngeal mechanism and discuss their functions; (2) list the sensory and motor innervation patterns for the muscles of the velopharyngeal mechanism; and (3) discuss the variations in velopharyngeal anatomy found in an unrepaired cleft palate. Understanding the normal anatomy and and treatment for children born with cleft lip physiology of the velopharyngeal mechanism is and palate. Most of the diagnostic and therapy the first step in providing appropriate diagnosis approaches are based on a strong foundation of 1Department of Communication Sciences and Disorders, Guest Editor, Ann W.
    [Show full text]
  • Soft Palate and Its Motor Innervation: a Brief Review
    Review Article Anatomy Physiol Biochem Int J Volume 5 Issue 4 - April 2019 Copyright © All rights are reserved by Liancai Mu DOI: 10.19080/APBIJ.2019.05.555672 Soft Palate and Its Motor Innervation: A Brief Review Liancai Mu1*, Jingming Chen1, Jing Li1, Stanislaw Sobotka1,2 and Mary Fowkes3 1Department of Biomedical Research, Upper Airway Research Laboratory, Hackensack University Medical Center, USA 2Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, USA 3Department of Pathology, Icahn School of Medicine at Mount Sinai, USA Submission: March 29, 2019; Published: April 18, 2019 *Corresponding author: Liancai Mu, MD, Ph.D, Upper Airway Research Laboratory, Department of Biomedical Research, Hackensack University Medical Center, 40 Prospect Avenue, Hackensack, NJ, 07601, USA Abstract Human soft palate plays an important role in upper airway functions such as speech, swallowing and respiration. However, neural control of the soft palate is poorly understood because innervation of this structure has long been controversial. In this review, the inconsistent and even contradictory observations regarding the motor innervation of the palatal muscles are summarized. We emphasize to use Sihler’s stain for documenting the nerves and their supply patterns within individual palatal muscles as studies have demonstrated that Sihler’s stain permits mapping of entire nerve supply within organs, skeletal muscles, mucosa, skin, and other structures. This wholemount nerve staining has unique advantage over other anatomical methods as all the nerves within the muscles processed with Sihler’s stain can be visualized in their 3-dimensional positions. Advanced knowledge of the neural organization of the soft palate is critical for a better understanding of its functions and for the development of novel neuromodulation therapies to treat soft palate-related upper airway disorders such as obstructive sleep apnea.
    [Show full text]
  • Comparative Myology and Evolution of Marsupials and Other Vertebrates, with Notes on Complexity, Bauplan, and “Scala Naturae”
    RVC OPEN ACCESS REPOSITORY – COPYRIGHT NOTICE This is the peer reviewed version of: Diogo, R., Bello-Hellegouarch, G., Kohlsdorf, T., Esteve-Altava, B. and Molnar, J. L. (2016), Comparative Myology and Evolution of Marsupials and Other Vertebrates, With Notes on Complexity, Bauplan, and “Scala Naturae”. Anat. Rec., 299: 1224–1255. doi:10.1002/ar.23390 which has been published in final form at http://dx.doi.org/10.1002/ar.23390. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. The full details of the published version of the article are as follows: TITLE: Comparative Myology and Evolution of Marsupials and Other Vertebrates, With Notes on Complexity, Bauplan, and "Scala Naturae" AUTHORS: Diogo, R., Bello-Hellegouarch, G., Kohlsdorf, T., Esteve-Altava, B. and Molnar, J. L. JOURNAL TITLE: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology PUBLISHER: Wiley PUBLICATION DATE: September 2016 DOI: 10.1002/ar.23390 Comparative myology and evolution of marsupials and other vertebrates, with notes on complexity, Bauplan, and ‘scala naturae’ Rui Diogo1, Gaelle Bello-Hellegouarch2, Tiana Kohlsdorf2, Borja Esteve-Altava1,3, Julia L. Molnar1 1 Department of Anatomy, Howard University College of Medicine, Numa Adams Building, 520 W St. NW, Washington, DC 20059, US. 2 Department of Biology, FFCLRP. University of São Paulo. Avenida Bandeirantes, 3900. Bairro Monte 7 Alegre. Ribeirão Preto, SP. Brazil. 3 Structure & Motion Laboratory, Department of Comparative Biomedical Sciences, Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA, United Kingdom. Corresponding author: Rui Diogo. Department of Anatomy, Howard University College of Medicine, Numa Adams Building, 520 W St.
    [Show full text]
  • G21A: Oral Cavity
    G21A: Oral Cavity Syllabus - Pg. 6 ANAT 6010 Medical Gross Anatomy David A Morton Objectives • Oral cavity • Tongue • Palate • Teeth 1) Oral Cavity Overview Hard palate Soft palate Uvula 1) Oral Cavity Overview Palatoglossal arch Palatine tonsil Palatopharyngeal arch 1) Oral Cavity Overview Medial view; Sagittal Section 2) Tongue ID the boney landmarks D A B C 2) Tongue ID the muscle and its innervation 2) Tongue ID the muscle and its innervation 2) Tongue ID the muscle and its innervation 2) Tongue ID the muscle and its innervation 2) Tongue What would you name this muscle? 2) Tongue What would you name this muscle? • Hyoglossus muscle (CN XII) 2) Tongue What would you name this muscle? 2) Tongue What would you name this muscle? • Styloglossus muscle (CN XII) 2) Tongue What would you name this muscle? 2) Tongue What would you name this muscle? • Palatoglossus muscle (CN X) 2) Tongue What would you name this muscle? 2) Tongue What would you name this muscle? • Genioglossus muscle (CN XII) A lesion to which cranial nerve will result in th following symptoms observed in this patient? A. CN V-3 B. CN VII C. CN IX D. CN X E. CN XI F. CN XII A lesion to which cranial nerve will result in th following symptoms observed in this patient? A. CN V-3 B. CN VII C. CN IX D. CN X E. CN XI F. CN XII Is it a lesion of the left or right hypoglossal nerve? A. Left B. Right Is it a lesion of the left or right hypoglossal nerve? A.
    [Show full text]
  • The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1
    Open Access Review Article DOI: 10.7759/cureus.7794 The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1 Bruno Bordoni 1 1. Physical Medicine and Rehabilitation, Foundation Don Carlo Gnocchi, Milan, ITA Corresponding author: Bruno Bordoni, [email protected] Abstract Working on the diaphragm muscle and the connected diaphragms is part of the respiratory-circulatory osteopathic model. The breath allows the free movement of body fluids and according to the concept of this model, the patient's health is preserved thanks to the cleaning of the tissues by means of the movement of the fluids (blood, lymph). The respiratory muscle has several systemic connections and multiple functions. The founder of osteopathic medicine emphasized the importance of the thoracic diaphragm and body health. The five diaphragms (tentorium cerebelli, tongue, thoracic outlet, thoracic diaphragm and pelvic floor) represent an important tool for the osteopath to evaluate and find a treatment strategy with the ultimate goal of patient well-being. The two articles highlight the most up-to-date scientific information on the myofascial continuum for the first time. Knowledge of myofascial connections is the basis for understanding the importance of the five diaphragms in osteopathic medicine. In this first part, the article reviews the systemic myofascial posterolateral relationships of the respiratory diaphragm; in the second I will deal with the myofascial anterolateral myofascial connections. Categories: Medical Education, Anatomy, Osteopathic Medicine Keywords: diaphragm, osteopathic, fascia, myofascial, fascintegrity, physiotherapy Introduction And Background Osteopathic manual medicine (OMM) was founded by Dr AT Still in the late nineteenth century in America [1]. OMM provides five models for the clinical approach to the patient, which act as an anatomy physiological framework and, at the same time, can be a starting point for the best healing strategy [1].
    [Show full text]