Anatomy & Histology · patient case question

Which muscle forms the fold immediately ANTERIOR to the palatine tonsil?

Patient case: Young man with a white 'stone' in his throat

Patient: Male, 21 years old

Chief complaint: “I have this white stone in my mouth that doesn't want to come out.”

Background: Had influenza 3 weeks ago. Oral hygiene is normal.

Current findings: White, calculus-like concretion visible in the oropharynx.

  1. Palatoglossus
  2. Superior constrictor
  3. Palatopharyngeus
  4. Styloglossus
Show answer and explanation

Correct answer: A. Palatoglossus

  • A. CORRECT. The palatine tonsil sits in the tonsillar fossa between two folds. The ANTERIOR fold, the palatoglossal arch, is raised by PALATOGLOSSUS. It is worth noting that palatoglossus is classified as a muscle of the soft palate rather than of the tongue, despite its name and its action of elevating the tongue base.
  • B. The superior constrictor forms the lateral pharyngeal wall deep to the tonsillar bed, not the anterior fold.
  • C. Palatopharyngeus raises the POSTERIOR fold (palatopharyngeal arch), behind the tonsil.
  • D. Styloglossus retracts and elevates the tongue; it does not form the tonsillar arches.

Note: Anterior = palatoGLOSSal arch; posterior = palatoPHARYNGeal arch. Among soft palate muscles, tensor veli palatini is the odd one out — supplied by V3, all others by the pharyngeal plexus.

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