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Dependency Of Upper Airway Patency On Head Position: The Effect Of Muscle Contraction.

M. Odeh, R. Schnall, N. Gavriely, A. Oliven
Published 1995 · Medicine

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In the present study we examined the effect of flexion and extension of the head on upper airway (UAW) patency in anesthetized dogs, and compared the dilatory and stabilizing effects of electrically stimulated UAW muscles at the different head positions. Flexion of the head increased UAW resistance (Ruaw) and reduced maximal flow (Vmax), but had little effect on the negative pressure at which UAW collapse occurred (Pcrit). Extension of the head, on the other hand, resulted in more negative Pcrit values and increased Vmax without significantly affecting Ruaw. Electrically induced UAW muscle contraction affected the pressure-flow curve and Ruaw, as well as Pcrit. Changing head position had a substantial effect on the dilatory and stabilizing effect of the various UAW muscles. However, independent of head position, genioglossus stimulation was most effective in reducing Ruaw and increasing Pcrit. We conclude that in the anesthetized, supine dog, head position affects the mechanical properties of the UAW and the effects of UAW muscle contraction.
This paper references
10.1016/0034-5687(93)90034-8
Effect of upper airway muscle contraction on supraglottic resistance and stability.
M. Odeh (1993)
10.1378/CHEST.86.1.114
Clinical conference in pulmonary disease. Factors influencing upper airway closure.
A. Block (1984)
Assessment of muscle action on upper airway stability in anesthetized dogs.
K. Strohl (1987)
10.1152/JAPPL.1993.75.5.2084
Tracheal and neck position influence upper airway airflow dynamics by altering airway length.
D. C. Thut (1993)
10.1152/JAPPL.1984.57.6.1790
Pharyngeal airway-stabilizing function of sternohyoid and sternothyroid muscles in the rabbit.
J. L. Roberts (1984)
10.1164/AJRCCM/146.4.1030
The effects of transcutaneous electrical stimulation during wakefulness and sleep in patients with obstructive sleep apnea.
L. Edmonds (1992)
10.1152/JAPPL.1984.57.1.197
Respiratory function of hyoid muscles and hyoid arch.
W. B. Van de Graaff (1984)
10.1152/JAPPL.1993.74.6.2828
Theory and measurements of snores.
N. Gavriely (1993)
10.1152/JAPPL.1985.58.2.635
Factors influencing regional patency and configuration of the human infant upper airway.
W. R. Reed (1985)
10.1164/AJRCCM/140.5.1279
Effects of electrical stimulation of the genioglossus on upper airway resistance in anesthetized dogs.
H. Miki (1989)
10.1164/AJRCCM/140.5.1285
Effects of submental electrical stimulation during sleep on upper airway patency in patients with obstructive sleep apnea.
H. Miki (1989)
10.1152/JAPPL.1959.14.5.760
Upper airway obstruction in the unconscious patient.
P. Šafár̆ (1959)
10.1152/JAPPL.1993.75.3.1053
Functional electrical stimulation and respiration during sleep.
M. Decker (1993)
10.1152/JAPPL.1988.64.2.789
Upper airway pressure-flow relationships in obstructive sleep apnea.
P. Smith (1988)
10.1152/JAPPL.1980.48.3.500
Upper airway patency in the human infant: influence of airway pressure and posture.
S. Wilson (1980)



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C. A. Kushida (1999)
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10.1007/978-1-4614-4466-4_14
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D. Fuller (1999)
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Respiratory-related control and functional significance of tongue protrudor and retractor muscles
D. Fuller (1998)
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A. D. Ray (2007)
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