Morphology Of Soft Palate Research Articles

Morphology of the soft palate and palatine tonsil of the goat (Capra hyricus).

The present study was carried out to study the morphology of the goat's soft palate and palatine tonsil by gross anatomy, morphometry, light and scanning electron microscopy (SEM). Twelve heads of normal adult (18-24 months) apparently healthy goats of both sexes were collected from local commercial slaughterhouses in Qena Governorate, Egypt. The oral cavity was dissected, and samples were collected for both light and SEM. The soft palate of the goat formed the caudal continuation of the hard palate. It was relatively short, it extended from the level of the caudal border of the last upper molar tooth to terminate caudally against the base of the epiglottis. The oral mucous membrane of the soft palate was covered by non-keratinized stratified squamous epithelium. The lamina propria and submucosa contained connective tissue fibers, diffuse and nodular lymphatic tissue, striated muscle fibers, and a large number of mucous and serous palatine glands. By SEM, the ventral surface had several rounded openings occupied by flower-like structures. These openings represented the entrances to the palatine glands. The palatine tonsil was large and protruded from a fossa in the lateral wall of the oropharynx. It had 2-3 elongated irregular openings that lead to the underlying crypts. These crypts were well-developed and lined by non-keratinized stratified squamous epithelium. The epithelium of the tonsillar crypts directly covered lymphoid tissue and was infiltrated by lymphocytes. Tonsillar glands of pure mucous type were demonstrated. In conclusion, the study provides the basic morphological features of soft palate, as well as the palatine tonsil of the goat by gross observation, light and SEM. The palatine tonsils of goat were well-developed with extensive crypt system, suggesting their essential role in the immunological response against antigens that enter through the oral cavity. The current findings may be useful to understand the role of the palatine tonsil in immunity and disease pathogenesis. RESEARCH HIGHLIGHTS: The study reported the basic morphological features of soft palate and palatine tonsil of goat. The ventral surface of the soft palate had several rounded openings occupied by flower-like structures. The palatine tonsils of goat were well-developed with extensive crypt system. The findings might help to understand the role of the palatine tonsil in immunity and disease pathogenesis.

Assessment of the Morphology of Soft Palate by Using Cone-Beam Computed Tomography

Background: Soft palate is an anatomical structure that helps modify the quality of voice and breath while swallowing. In patients with cleft palate, obstructive sleep apnea, oral submucous fibrosis, and skeletal craniofacial malocclusions, soft palate dysfunctions are frequently seen. Knowing the soft palate's morphological variations thus helps us to assess and manage such patients better. Aims: To assess the morphology of the Soft Palate in Cone-Beam Computed Tomography in different age and gender groups and to find its association with: Need's ratio, Velar Length, Width, and Pharyngeal Depth in different morphological velar types. Methods and Material: The study sample consisted of 60 patients aged 20-50 years. Patients who underwent Cone Beam Computed Tomography scans of the whole maxilla (16×16 FOV) were taken up for the study. Measurements and Interpretation of Velar Length, Width, and Pharyngeal Depth were made. Results: A statistically significant correlation was observed in Velar width with an R-value of 0.04. An increase in velar width was noted with an increase in age. Leaf shape soft palate was the more prevalent type, followed by rat tail and butt shape. In male patients, the velar length and pharyngeal depth were significantly greater compared to female patients. Conclusion: By knowing different types of the soft palate and all the variations in the parameters as the reference, the dental surgeon can plan any invasive surgical procedure related to velopharyngeal dysfunctions better and avoid any complications arising from velopharyngeal dysfunctions.

A Digital Cephalometric Study on The Morphometric Evaluation of Soft Palate in Oral Submucous Fibrosis.

Objective:Oral submucous fibrosis (OSMF) is a chronic precancerous condition affecting the oral cavity, which is progressive and characterised by burning sensation and fibrotic change leading to restriction of mouth opening. This study evaluated the morphology of soft palate in different stages of OSMF patients using digital lateral cephalogram and compare it with healthy individuals. Methods:The study included 60 subjects, who were grouped as 30 OSMF and 30 healthy subjects from the same geographic population. Digital lateral cephalograms were taken with Planmeca Proline XC (Oy, Helsinki, Finland). Soft palate morphology was evaluated using Lateral Cephalogram, and the results were analysed statistically. Results:Leaf-shaped (Type 1) soft palate was commonly seen in the control group and stage I and II OSMF. Stage III OSMF patients presented with a butt-shaped (Type 3) soft palate. As the disease progressed, there was a conversion of Type 1 variety of soft palate to Type 3 variety. There was a gradual reduction in the length of the soft palate in the anteroposterior direction in OSMF patients compared to the control group. Conclusion:Early cephalometric diagnosis of soft palate changes may play a pivotal role in the overall management of OSMF.

Morphometric Evaluation of Soft Palate in OSMF Patients Using Cephalometrics.

Oral submucous fibrosis (OSF) is a chronic disease and a well-recognized potentially malignant condition of the oral cavity characterized by inflammation and a progressive fibrosis of the lamina propria and deeper connective tissues. To study the morphology of soft palate in different stages of OSF on digital lateral cephalogram. To compare the changes in morphology of soft palate in OSF patients with control. The study was conducted from 2017 to 2018 on 217 patients with their age ranging from 17 to 60years. All patients detailed clinical examination and history was taken and cephalometric evaluation was done. Type I (51.14%) was found to be the most common in OSF group followed by type II (21.86%) and type VI (13.64%). The present study highlighted the variable radiographic appearances of the soft palate on lateral cephalograms with type I as most common morphology. Cephalometric analysis is one of the most commonly accepted techniques for evaluating the soft palate in both normal individuals and in those with cleft lip and palate.

Variation in Morphology of Soft Palate Using Cone-Beam Computed Tomography in Sakaka Population

Objective: The aim of the present study was to investigate the variation in morphology of soft palate in age groups and gender using CBCT in Sakaka population. Study design: The study sample consisted of 240 CBCT scans aged between 15 and 45 years. The velar morphology on CBCT was examined and grouped into six types. The results obtained were subjected to statistical analysis to find out the association between variants of the soft palate with gender and different age groups. Results: The most frequent type of soft palate was Rat tail shaped. (46.25%) followed by Leaf shape, 18.75% Butt shape, 13.33% and Handle shape, 10%. S-shape7.5% and Crook shape, was 4.1%. There was no significant difference between Males and Females. Conclusions: The knowledge of a varied spectrum of velar morphology and the variants of the soft palate assist in the better understanding of the velopharyngeal closure and craniofacial anomalies.

Morphological evaluation of soft palate in various stages of oral submucous fibrosis and normal individuals: A digital cephalometric study

Aim of Study: The aim of the study was to evaluate the morphology of soft palate in different stages of oral submucous fibrosis (OSMF) patients using digital lateral cephalogram. Materials and Methods: Total 100 participants were enrolled for the study. They were divided into two groups, Group 1 consisted of first 50 patients diagnosed with OSMF and Group 2 consisted of first 50 non-OSMF patients. Results: Morphology of soft palate was divided into eight types and was compared. Leaf shape (Type 1) was found to be most common and bifid shape least common. It was observed that as the grade of OSMF increases, the size of soft palate also shortens and becomes bulkier as compared to initial stages or non-OSMF group, and results were highly significant with a P value of > 0.05. Conclusion: The soft palate has variable radiographic appearances on lateral cephalometry. The classification system and statistical findings here may help the research of velopharyngeal closure in cleft palate individuals and etiological study of obstructive sleep apnea syndrome and other conditions.

Variation in the morphology of soft palate

Variation in the morphology of soft palate

A Focus on Variation in Morphology of Soft Palate Using Cone-Beam Computed Tomography with Assessment of Need's Ratio in Central Madhya Pradesh Population.

Soft palate is an anatomical structure that helps in modifying the quality of voice and to breathe while swallowing. Through the variants and shapes of the soft palate, we can assess the age and gender of an individual. The aim of the present study was to investigate the variation in morphology of soft palate and to find its association with the Need's ratio, Velar Length (VL), Velar Width (VW) and Pharyngeal Depth (PD), in age groups and gender using CBCT in Central Madhya Pradesh population. The study sample consisted of 121 CBCT scans of individuals aged between 15 to 45 years. These scans were retrieved from the Department of Oral Radiology. The velar morphology on CBCT was examined and grouped into six types. The results obtained were subjected to a statistical analysis to find the association between variants of the soft palate with gender and different age groups. ANOVA and Z-test were used for statistical analysis. The p≤0.05 was considered as significant while p≤0.001 was considered as highly significant. The most frequent type of soft palate was rat tail shaped. The mean VL and VW values were significantly higher in males while PD and Need's ratio were higher among females, insignificantly associated with the types of soft palate. A significant association was observed between the mean VL and VW with various age groups, showing an increase in values with an increase in age. A variation in morphology of soft palate plays an important role in the assessment of velopharyngeal closure and in diagnosing obstructive sleep apnoea individuals.

An Innovative Approach to Evaluate the Morphological Patterns of Soft Palate in Oral Submucous Fibrosis Patients: A Digital Cephalometric Study.

Oral submucous fibrosis (OSMF) is a chronic insidious disease affecting mucosa and submucosa of oral cavity and soft palate. The present study aimed to evaluate the morphology of soft palate in normal individuals and OSMF patients using lateral cephalometry and to compare and correlate these variants of soft palate with different stages of OSMF. 100 subjects were included in the study, who were divided into two groups. Group I included 50 subjects with clinical diagnosis of OSMF and Group II included 50 normal subjects (control group). Using digital lateral cephalometry, velar length and width were measured and soft palatal patterns were categorized based on You et al.'s classification. Leaf and rat-tail patterns of soft palate were predominant in control group, whereas butt and crook shaped variants were more in study group. Anteroposterior (A-P) length of soft palate was significantly greater in stage I OSMF, while superoinferior (S-I) width was greater in stage III OSMF. Interestingly, a negative correlation was observed in staging of OSMF and A-P dimensions. As the staging of OSMF advances, the A-P length of soft palate decreases, but S-I width increases.

Morphometric evaluation and comparison of soft palate in individuals with and without oral submucous fibrosis: A digital cephalometric study

Objectives: Oral submucous fibrosis (OSMF) is one of the most common premalignant conditions affecting the oral cavity of people consuming arecanut and gutka. According to the available literature, as the disease progresses the morphology of the soft palate changes. So, the objective of present study was to evaluate and compare the morphology of soft palate in individuals with and without OSMF, using digital lateral cephalogram. Materials and Methods: Sixty male individuals were selected and divided into three groups, Group I-20 individuals (habit group), Group II-20 individuals (OSMF group), and Group III-20 individuals (individuals with no habit and/or OSMF group). The morphology of soft palate was assessed using digital lateral cephalogram. Statistical analysis was carried out using Scheffe multiple comparison test. Results: The superoinferior dimension of soft palate was increased with statistically significant difference in the habit and OSMF groups. The anteroposterior dimension was reduced in the habit group as compared to normal individuals, with statistically significant difference in the OSMF group. The type of soft palate more common in normal individuals and habit group was type 1 and 2, while type 6 was seen more commonly in OSMF group. Conclusion: Cephalometry can be efficiently used to assess the morphology of soft palate and the morphology of soft palate is altered in individuals with the habit even before the development of OSMF. So, cephalometry can be beneficial in assessing fibrosis in individuals with the habit at an early stage, which can further help in prognosis.

Digital cephalometric analysis illustrating morphological variation of the soft palate

Introduction and Objectives: The soft palate plays a vital role in velopharyngeal closure which is strongly dependent on a close coordination of the velum and the contiguous pharyngeal structures. It is reasonable to hypothesize that these structures may have different characteristics to match up to different soft palate morphologies. Considering this, the present study was done to investigate the variation in the morphology of the soft palate. Materials and Methods: A total of 200 patients belonging to both the genders, in the age group 5-55 years, were selected from the outpatients visiting the Department of Oral Medicine and Radiology. All the study samples were subjected to lateral cephalogram and the morphology of the soft palate was categorized as described by You et al. Any additional finding was further differentiated as type 7 and so on. The length of soft palate was also evaluated using Sidexis next generation software. The data obtained were tabulated and subjected to statistical analysis. Results: The morphology of soft palate was categorized into eight types. Type 1 was the commonest type observed. The relationship between the different types of soft palate in various age groups was found to be non-significant. The mean length of the soft palate was found to be more in group V (46-55 years). The mean length of soft palate was found to be higher in males. There was a positive correlation between age and type of soft palate. Conclusion: The present study draws a new set of morphological classification for the soft palate.

Morphological Study of Soft Palate by Using Computed Tomography-A Prospective Study.

Soft palate is an important part of oro-naso-pharyngeal apparatus. The morphometric assessment of soft palate is well-performed on computed tomography (CT). To evaluate the morphology of soft palate in healthy individuals by using Computed tomography. The study was conducted on 300 healthy voluntary participants who were subjected to CT scan (sagittal view) of head and neck region. The measurements of antero-posterior and supero-inferior length of soft palate were performed by using Syngo CT 2009E software. The statistical analysis was performed by using SPSS software version 16 and test applied were one-way ANOVA, independent t-test, chi-square and Karl Pearson's co-relation coefficient. The participant's age ranged from 18-80 years with mean of 39.51±14.64. The study had equal number of males (n=150) and females (n=150). Out of six shapes of soft palate, Butt type (38.7%) was the commonest. The morphology of soft palate in different age groups was statistically not significant (p>0.05). The total mean of antero-posterior length (30.31±3.39 mm) of soft palate was more than supero-inferior length (10.72±1.71 mm). The mean of antero-posterior length in males (30.69±3.42 mm) was more than females (29.92±3.32 mm); which was statistically significant (p<0.05). The mean of supero-inferior length in males (10.67±1.78 mm) was less than females (10.78+1.64 mm), which was statistically not significant (p>0.05). CT scan is an important diagnostic aid for studying the accurate morphology of soft palate.

Correlation of morphological variants of soft palate and types of malocclusion: A digital lateral cephalometric study

Aims and Objectives: The morphology of soft palate has variable presentations on lateral cephalometry. The aim of our study was to investigate the correlation between various shapes of soft palate and types of malocclusion in different gender groups among North Indian individuals. Materials and Methods: The study sample comprised randomly selected 250 healthy North Indian individuals (125 males and 125 females) seeking orthodontic treatment for malocclusion without any speech abnormality or any other syndromes or diseases and with age ranging from 14 to 28 years. Clinically, in all subjects, the type of malocclusion was examined and categorized according to Angle's classification of malocclusion. The morphological variants of soft palate were also assessed on digital lateral cephalogram and were allocated to one of the six patterns as described by You et al. The differences in the proportion of each type were studied and variation of malocclusion and soft palate morphology between gender groups was also assessed. The results obtained were subjected to a statistical analysis to find the correlation between variants of the soft palate and types of malocclusion in different gender groups. Results: In our study, the frequency of rat tail (37.2%) type of soft palate was seen in highest proportion, whereas the frequency of distorted S-shape (6.80%) was least in both the genders. Angle's class II malocclusion (51.2%) was the most common, followed by class I (43.2%), whereas class III (5.6%) was found to be the least prominent type in both the genders. Patients with Angle's class I malocclusion were most frequently found to have rat tail type soft palate, those with Angle's class II had leaf-shaped soft palate, and those with Angle's class III had crooked shaped soft palate. Angle's class II and class III malocclusions were significantly correlated with soft palate shapes, whereas Angle's class I malocclusion was highly significantly correlated with the shape of soft palate. Conclusion: It was found in our study that there was a significant correlation between variants of soft palate and types of malocclusion.

Radiographic Evaluation of Soft Palate Morphology and Correlation with Gender on Lateral Cephalograms

ABSTRACT Objective To investigate the variation of the soft palate morphology and the proportional differences of the morphology of soft palate between males and females. Materials and methods We conducted a cross-sectional study in department of oral medicine and radiology. Lateral cephalometric radiographs of individuals subjected to radiographic examination for orthodontic purpose were retrieved. A total of 100 digital lateral cephalograms of normal healthy individuals (50 males and 50 females) who were aged 15 to 45 years were retrieved. Results Type 1 was most commonest shape of the soft palate (30%) followed by type 6 (19%), types 2 and 3 (17 and 17%), type 4 (11%) with least being type 5 (6%). There was no significant difference in the distribution of shape of soft palate between males and females (p = 0.312). Conclusion This classification can help us better understand the diversity of the velar morphology and can be used as references for the research of velopharyngeal closure in cleft palate individuals, obstructive sleep apnea syndrome (OSAS) and other conditions. How to cite this article Smriti K, Pai KM, Vineetha R, Pentapati KC. Radiographic Evaluation of Soft Palate Morphology and Correlation with Gender on Lateral Cephalograms. World J Dent 2015;6(3):147-149.

Morphometric evaluation of soft palate in oral submucous fibrosis-A digital cephalometric analysis

Aims: The present clinico-radiological study was done to evaluate the morphological variants of soft palate in oral submucous fibrosis (OSMF) patients using digital lateral cephalometry. Different variations in the morphology of soft palate were compared with stages of OSMF. Further, soft palate morphology in OSMF patients was compared radiographically with that of normal population. Materials and Methods: A total number of 100 patients who were a part of this study were divided in two equal Groups. Group 1 comprised of 50 patients clinically diagnosed with OSMF and Group 2 included 50 routine patients. Results: Six different morphological variants of soft palate were found. Among the study Groups, type 1soft palate was most commonly seen (56%) whereas type 5 was the least common variant. Majority of patients belonged to stage II OSMF and type 1soft palate was commonly seen in this stage of disease whereas butt shaped soft palate (type 3) was more common in stage III OSMF. Conclusion: In OSMF, type 1 and 2 are commonly seen but as the diseases advances, these are replaced by type 3 and 6 variants. In OSMF patients, there in reduction in the anterio-posterior dimension of soft palate.

Prevalance of soft Palatemorphology - A Unique Cephalometric Study

Soft palate as part of nasopharyngeal and oropharyngeal apparatus has an important role in phonation, deglutition and respiration. Its varied morphology is implicated in variety of diseases. Therefore, it is essential to establish the morphology of soft palate in normal patients to establish the variations in its morphology in various diseases. The present study aims to investigate the various shapes of soft palate and to find out predominant shape in pediatric group and adult group in Sunam population. The study population comprised of 70 patients at random that includes 35 adult patients group of age between 15–28 yrs and 35 pediatric out of which type 2 (rat tail-shaped soft palate) was the most frequent type in 16 cases (22.9%) in pediatric patient group and in 14 cases (20.0%) in adult patient group, which was an unusual finding. These findings can be used as patients group of age between 7–14 yrs, references for the research of velopharyngeal closure in cleft palate individuals and for the aetiological research of OSAS and other conditions.

Morphometric evaluation of soft palate in oral submucous fibrosis—A digital cephalometric study

The Present study was carried out to evaluate the morphology of soft palate in Oral Submucous Fibrosis (OSF) patients using digital lateral cephalogram. A total number of 70 patients were included in the study (Control group had 35 patients and Study group had 35 OSF patients) were evaluated for soft palate by digital lateral cephalogram. The anterio-posterior length and superior–inferior length of soft palate were measured. The morphology of soft palate was categorized as type 1, to type 6. Different types of soft palate were compared with stages of OSF. Among the Study group (35 patients) 62.9% had Stage 2 OSF. Leaf shaped (Type 1) soft palate was seen commonly in stage 2 OSF whereas butt shaped (Type 3) in stage 3 OSF. In the present study there was statistically significant difference in length (anterio-posterior) of Type 1 soft palate of OSF patients. In the present study as the OSF progressed to advanced stage there was gradual change from Type 1 and Type 2 variety of Soft palate to Type 3 and Type 6 variety of soft palate. The study observed that there was gradual reduction in the length of soft palate in anterior-posterior direction in OSF patients.

Diverse Morphologies of Soft Palate in Normal Individuals: A Cephalometric Perspective

Purpose: Soft palate plays a significant role in various important functions in the head and neck region. Its varied morphology is implicated in variety of diseases. Therefore, it is essential to establish the morphology of soft palate in normal patients to establish the variations in its morphology in various diseases. The present study aims to investigate the variation of the soft palate morphology in Indian subpopulation and possibly classify types of soft palate, to evaluate the dimensional differences of the soft palate between each types and to investigate the proportional differences in different age and gender groups. Materials and methods: Two hundred digital lateral cephalograms were analyzed for the velar morphology and categorized into different types. In addition length and thickness of the soft palate was also measured. Results: In addition to original seven types of soft palate two more morphological variants of soft palate were observed. The velar length was significantly higher in males and the velar width was significantly less in females. Also a significant increase in velar length was observed with increase in age. Conclusion: Type 1 was the most common of all the variants. Moreover, additional morphological variants which did not fit into the classical categories were also observed. There was no significant correlation between the different age groups and the types of soft palate. The velar length and width was significantly greater in males than in females. A significant increase in velar length was noted with increase in age.