Abstract
This presentation is part of a parallel seminar entitled “Esophago/Pharyngo/Laryngeal Interrelationship.” It reports on some of the work done to elucidate the intricate mechanisms involved in transporting food/liquid through the pharynx while simultaneously protecting the airway from aspiration. Significant species differences occur during swallowing, which influence the interpretation of experimental results. Briefly discussed in this panel presentation are the distinction between the glottic closure reflex and laryngospasm; some variations that occur in normal and disordered adult swallowing; the sequence of events during swallowing; differences in the reciprocal relationship between breathing and swallowing in adults as contrasted with infants; and laryngeal reflexes engendered by esophageal stimulation.
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References
Shaker R, Dodds WJ, Dantas RO, Hogan WJ, Arndorfer RC: Coordination of deglutitive glottic closure with oropharyngeal swallowing. Gastroenterology 98:1478–1484, 1990
Shaker R: Oropharyngeal dysphagia: practical approach to diagnosis and management. Sem Gastrointest Dis 3(3):115–128, 1992
Gay T, Rendell JK, Spiro J: Oral and laryngeal muscle coordination during swallowing. Laryngoscope 104:341–348, 1994
Miller AJ: Neurophysiological basis of swallowing. Dysphagia 1:91–100, 1986
Dodds WJ: The physiology of swallowing. Dysphagia 3:171–178, 1989
Negus VE: The Comparative Anatomy and Physiology of the Larynx. New York, NY: Hafner Publishing Co, 1962
Sasaki CT, Isaacson G: Functional anatomy of the larynx. Otol Clin NA 21(4):595–612, 1988
Hast MH: Mechanical properties of the vocal fold muscle. Pract Otorhinolaryngol 29:53, 1967
Suzuki M, Sasaki CT: Laryngeal spasm: a neurophysiologic redefinition. Ann Otol 86:150–157, 1977
Storey AT: Laryngeal initiation of swallowing. Exp Neurol 20:359–365, 1968
Sasaki CT, Suzuki M: Laryngeal reflexes in cat, dog and man. Arch Otolaryngol 102:400–402, 1976
Ekberg O: Defective closure of the laryngeal vestibule during deglutition. Acta Otolaryngol 93:309–317, 1982
Doty RW, Bosma JF: An electromyographic analysis of reflex deglutition. J Neurophysiol 19:44–60, 1956
Ren J, Shaker R, Zamir Z, Dodds WJ, Hogan WJ, Hoffmann RG: Effect of age and bolus variables on the coordination of the glottis and upper esophageal sphincter during swallowing. Am J Gastroenterol 88(5):665–669, 1993
Nishino T, Yonezawa T, Honda Y: Effects of swallowing on the pattern of continuous respiration in human adults. Am Rev Respir Dis 132:1219–1222, 1985
Wilson SL, Thach BT, Brouillette RT, Abu-Osba YK: Coordination of breathing and swallowing in human infants. J Appl Physiol 50(4):851–858, 1981
Loughlin GM: Respiratory consequences of dysfunctional swallowing and aspiration. Dysphagia 3:126–130, 1989
Bauman NM, Sandler AD, Schmidt C, Maher JW, Smith RJH: Reflex laryngospasm induced by stimulation of distal esophageal afferents. Laryngoscope 104:209–214, 1994
Shaker R, Ren J, Kern M, Dodds WJ, Hogan WJ, Li Q: Mechanisms of airway protection and upper esophageal sphincter opening during belching. Am J Physiol 262:G621-G628, 1992
Shaker R, Dodds WJ, Ren J, Hogan WJ, Arndorfer RC: Esophagoglottal closure reflex: a mechanism of airway protection. Gastroenterology 102:857–861, 1992
Shaker R, Ren J, Medda B, Lang I, Cowles V, Jaradeh S: Identification and characterization of the esophagoglottal closure reflex in a feline model. Am J Physiol 266:G147-G153, 1994
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Kidder, T.M. Esophago/Pharyngo/Laryngeal Interrelationships: Airway protection mechanisms. Dysphagia 10, 228–231 (1995). https://doi.org/10.1007/BF00431414
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DOI: https://doi.org/10.1007/BF00431414