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Anatomy of the Hard Palate

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Hello everyone. Sidney Levy here,

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once again continuing our discussion of the

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anatomy of the oral cavity and its subsites.

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Today we're going to focus on the hard palate.

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The hard palate is often forgotten

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because pathology, including squamous

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cell malignancy, is relatively uncommon.

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But we need to be familiar with its anatomy

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because sometimes pathology in this region can

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be mistaken for nasal cavity pathology,

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when in fact it is really an oral cavity lesion.

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Once again, I have our pre-contrast

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T1-weighted imaging in three planes.

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Before I go any further, I will quickly point out that

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this particular patient has an oral tongue malignancy,

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which we're not going to discuss any further, but in

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case you are wondering why there is some distortion of

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the appearance of the tongue on the coronal projection.

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That is the reason.

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So the hard palate is formed by two bones, the

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maxilla, in particular, the palatine processes

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of the maxillae, which form the anterior three

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quarters of the hard palate, and then posteriorly,

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the horizontal plates of the palatine bones.

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The hard palate extends posteriorly

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as far as the junction with the soft palate.

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It's easy to see in the sagittal projection, as well

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as the coronal projection, as a semilunar shape.

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You can't readily appreciate it in the axial projection

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due to its narrow dimensions in the superoinferior plane.

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Now, the relationships of the hard palate are, as I

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alluded to, the soft palate posteriorly, the alveolar

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mucosa covering the alveolar ridges of the maxilla

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laterally, and alveolar mucosa anteriorly as well.

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It's important to remember that the hard palate is at

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the junction of the oral cavity and the nasal cavity.

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So, pathology in this region

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has a tendency to spread

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superiorly into the inferior

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portion of the nasal cavity.

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So in summary, the hard palate is a semilunar region

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which consists of two bones covered by a mucous

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membrane, the palatine processes of the maxilla,

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and the horizontal plates of the palatine bones.

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Its boundaries are the mucosae, or alveolar mucosae,

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lining the upper alveolar ridges of the

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maxilla and the soft palate posteriorly.

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Thank you.

Report

Description

Faculty

Sidney Levy, PhD, MBBS

Radiologist and Nuclear Medicine Specialist

I-MED

Tags

Oral Cavity/Oropharynx

Neuroradiology

Neuro

Neoplastic

MRI

Head and Neck

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