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On the topic of maxillary rotation and why the tongue doesn't jam the vomer

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(@sinned)
Posts: 410
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/community/community/main-forum/new-theory-about-maxilla-rotation/

This is not to dispel Couda's post on how the maxilla rotates, I agree with the mechanism he proposes, however, I disagree with the idea of purposefully lowering the hyoid or "jawning". The palatoglossus raises the posterior third, the posterior third of the tongue rests on the soft palate. Only if you push up on the hard palate could you theoretically push up on the vomer bone as shown by the images below, the vomer bone encompasses the hard palate. Therefore, if you were to push up or raise the back of the tongue onto the soft palate you're not pushing up on the vomer at all which means there's no need to purposefully lower the hyoid to prevent the tongue from pushing up too hard. Additionally, when I'm really thinking about how the front 2/3's of the tongue engages with the palate, it's not really "pushing up", rather, it raises itself and spreads out. The pressure I feel is not from pushing up on the hard palate, but the tongue trying to fit in an area that is too small.

Sagittal section of a 24 weeks fetus. The soft palate is between the arrows. The vomer bone is outlined. From “Prenatal ultrasound examination of the secondary palate” by Prof. Stuart Campbell, picture courtesy of Dr. Gonzalo Moscoso with thanks, in Ultrasound Obstet Gynecol 2007; 29(2): 124-127. Copyright International Society of Ultrasound in Obstetrics and Gynecology, 2007. Reproduced with permission. Permission is granted by John Wiley & Son Ltd. on behalf of the ISUOG. quarter the palate only (Offerdal 2008). Therefore assessment of the fetal lip or palate is not complete without the examination of both and the examination of the palate extends from the premaxilla to the tip of the uvula. 

The arrows mark the soft palate, the outline is the vomer, no way for the back of the tongue which the palatoglossus raises to jam the vomer.

Image result for vomer

As you can see here, the vomer encompasses the hard palate, the soft palate, is not shown here since this image is just showing hard tisssue. If you can imagine the soft palate would be the remaining third of the palate that's soft tissue and angles downwards a bit.

Image result for vomer

 


 
Posted : 15/08/2019 7:32 pm
Agendum and Agendum reacted
(@limbo6)
Posts: 34
 

Good thread


 
Posted : 18/08/2019 9:26 am

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