4.3 Article

Morphologic characteristics of the superior pharyngeal constrictor muscle in relation to the function during swallowing

Journal

DYSPHAGIA
Volume 22, Issue 2, Pages 122-129

Publisher

SPRINGER
DOI: 10.1007/s00455-006-9063-2

Keywords

superior pharyngeal constrictor muscle; buccinator muscle; tongue; swallowing; pharynx; deglutition; deglutition disorders

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To clarify the morphologic characteristics of the superior pharyngeal constrictor muscle, which plays an important role in swallowing, the gross anatomy of the pterygopharyngeal, buccopharyngeal, mylopharyngeal, and glossopharyngeal parts of the muscle was examined. Morphology of the origin of the muscle at the buccopharyngeal part could be divided into three types: type A, membranous morphology from superior to inferior areas; type B, membranous only in superior area; and type C, complete lack of membrane. In all three types, the muscle at the buccopharyngeal part transitionally originated from the buccinator muscle. Morphology of the origin of the muscle at the mylopharyngeal part could be divided into two types: type A, tip of the origin on the mylohyoid line; and type B, tip of the origin away from the mylohyoid line. The present study found that the superior pharyngeal constrictor muscle is attached to the buccinator muscle (which plays an important role in mastication) with mucosa and originates from the mandible and root of the tongue. These findings suggest that the superior pharyngeal constrictor muscle may also play an important role in the expression of smooth coordinated movements associated with ingestion, from mastication to swallowing.

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