Online citations, reference lists, and bibliographies.
← Back to Search

Motricité Des Voies Aériennes Supérieures Et Physiopathologie Du Syndrome D'apnées Du Sommeil

C. Gaultier
Published 1994 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Resume Les muscles dilatateurs des voies aeriennes superieures (VAS) generent a l'inspiration une pression qui s'oppose a la pression negative intraluminale generee par le diaphragme tendant a diminuer le calibre des VAS. Dans le controle nerveux des muscles dilatateurs des VAS differents recepteurs sont impliques: recepteurs vagaux pulmonaires, mecanorecepteurs des VAS, barorecepteurs, chemorecepteurs. Au cours du sommeil, les resistances a l'ecoulement des gaz dans les VAS augmentent et l'activite EMG des muscles dilatateurs diminue en particulier lors des periodes de mouvements oculaires rapides en sommeil paradoxal. L'occlusion des VAS au cours du sommeil survient lorsque la pression generee par les muscles dilatateurs n'est plus suffisante pour s'opposer a la pression intraluminale negative. De nombreux facteurs sont impliques dans la physiopathologie des apnees obstructives: facteurs anatomiques des VAS, structuraux au niveau des muscles dilatateurs, centraux responsables de l'instabilite de l'activite inspiratoire centrale.
This paper references
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)
10.1164/ARRD.1985.132.5.972
The effects of nasal anesthesia on breathing during sleep.
D. White (1985)
10.1164/AJRCCM/136.3.623
Pharyngeal size and resistance in obstructive sleep apnea.
J. L. Stauffer (1987)
Electromyography of the human palate: discharge patterns of the levator and tensor veli palatini.
H. Le (1981)
10.1172/JCI115751
Waking genioglossal electromyogram in sleep apnea patients versus normal controls (a neuromuscular compensatory mechanism).
W. Mezzanotte (1992)
10.1164/ARRD.1983.127.4.487
Fluoroscopic and computed tomographic features of the pharyngeal airway in obstructive sleep apnea.
P. Suratt (1983)
10.1164/ARRD.1982.125.2.167
Pathogenesis of apneas in hypersomnia-sleep apnea syndrome.
E. Onal (1982)
10.1016/0034-5687(82)90026-3
Sleep apnea considered as a control system instability.
G. Longobardo (1982)
10.1164/AJRCCM/136.2.526
Physiologic basis of therapy for sleep apnea.
K. Strohl (1986)
10.1152/JAPPL.1993.74.1.73
Response of genioglossus EMG activity to passive tilt in men.
M. J. Wasicko (1993)
10.1152/JAPPL.1984.57.2.520
Upper airway closing pressures in obstructive sleep apnea.
F. Issa (1984)
10.1152/JAPPL.1988.64.4.1346
Effects of upper airway anesthesia on pharyngeal patency during sleep.
E. DeWeese (1988)
10.1152/JAPPL.1985.58.6.1971
Dynamics of respiratory drive and pressure during NREM sleep in patients with occlusive apneas.
E. Onal (1985)
10.1152/JAPPL.1978.44.6.931
Pathogenesis of upper airway occlusion during sleep
Remmers Je (1978)
10.1152/JAPPL.1983.55.1.61
Cranial and phrenic nerve responses to changes in systemic blood pressure.
J. Salamone (1983)
10.1016/0034-5687(84)90043-4
Respiratory afferent activity in the superior laryngeal nerves.
O. Mathew (1984)
10.1378/CHEST.101.2.541
Mechanisms of obstructive sleep apnea.
D. Hudgel (1992)
10.1164/AJRCCM/138.6.1542
Palate and hypopharynx--sites of inspiratory narrowing of the upper airway during sleep.
D. Hudgel (1988)
10.1152/JAPPL.1984.56.3.746
Nasal and laryngeal reflex responses to negative upper airway pressure.
E. van Lunteren (1984)
10.1288/00005537-198806000-00013
Site of upper airway obstruction in patients with idiopathic obstructive sleep apnea
R. Chaban (1988)
10.1164/ARRD.1987.135.4.899
Changes in inspiratory muscle electrical activity and upper airway resistance during periodic breathing induced by hypoxia during sleep.
D. Hudgel (1987)
10.1152/JAPPL.1984.56.1.133
Mechanics of the respiratory system and breathing pattern during sleep in normal humans.
D. Hudgel (1984)
10.1152/JAPPL.1990.68.4.1746
Posterior cricoarytenoid muscle activity during wakefulness and sleep in normal adults.
S. Kuna (1990)
10.1016/0006-8993(93)90517-Q
Suppression of hypoglossal motoneurons during the carbachol-induced atonia of REM sleep is not caused by fast synaptic inhibition
L. Kubin (1993)
10.1152/JAPPL.1984.57.4.1143
Respiratory activity of posterior cricoarytenoid muscle and vocal cords in humans.
T. Brancatisano (1984)
10.1016/0014-4886(87)90252-4
Behavioral state-specific inhibitory postsynaptic potentials impinge on cat lumbar motoneurons during active sleep
F. Morales (1987)
10.1164/AJRCCM/147.5.1144
Effect of electrical stimulation of the hypoglossal nerve on airflow mechanics in the isolated upper airway.
A. R. Schwartz (1993)
10.1152/JAPPL.1990.69.4.1252
Upper airway resistance and geniohyoid muscle activity in normal men during wakefulness and sleep.
D. Wiegand (1990)
Selective reduction of genioglossal muscle activity by alcohol in normal human subjects.
R. Krol (1984)
10.1152/JAPPL.1987.63.4.1344
The English bulldog: a natural model of sleep-disordered breathing.
J. Hendricks (1987)
10.1152/JAPPL.1993.75.3.1053
Functional electrical stimulation and respiration during sleep.
M. Decker (1993)
10.1152/JAPPL.1984.56.2.397
Responses to chemical stimulation of upper airway muscles diaphragm in awake cats.
M. Haxhiu (1984)
10.1152/JAPPL.1982.52.2.445
Genioglossus muscle responses to upper airway pressure changes: afferent pathways.
O. Mathew (1982)
10.1164/AJRCCM/148.1.185
Upper airway dilating muscle hyperactivity during non-rapid eye movement sleep in English bulldogs.
J. Hendricks (1993)
10.1152/JAPPL.1993.75.1.148
Static mechanics of the velopharynx of patients with obstructive sleep apnea.
S. Isono (1993)
10.1152/JAPPL.1983.55.4.1113
Arousal and breathing responses to airway occlusion in healthy sleeping adults.
F. Issa (1983)
10.1152/JAPPL.1978.44.6.909
Developmental pattern of muscle fiber types in human ventilatory muscles.
T. Keens (1978)
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)
10.1164/AJRCCM/144.5.1112
Phasic respiratory muscle patterns and sleep-disordered breathing during rapid eye movement sleep in the English bulldog.
J. Hendricks (1991)
10.1152/JAPPL.1986.61.4.1403
Variable site of airway narrowing among obstructive sleep apnea patients.
D. Hudgel (1986)
10.1164/AJRCCM/140.5.1279
Effects of electrical stimulation of the genioglossus on upper airway resistance in anesthetized dogs.
H. Miki (1989)
10.1152/JAPPL.1992.72.1.110
Phenylephrine-induced hypertension acutely decreases genioglossus EMG activity in awake humans.
E. Garpestad (1992)
10.1152/JAPPL.1990.68.6.2581
Selective reflex activation of the genioglossus in humans.
J. Leiter (1990)
10.1152/JAPPL.1989.66.3.1242
Influence of respiratory drive on upper airway resistance in normal men.
F. Sériès (1989)
10.1164/ARRD.1987.135.2.378
Correlation between genioglossal and diaphragmatic responses to hypercapnia during sleep.
R. A. Parisi (1987)
10.1152/JAPPL.1982.52.3.530
Effect of chemical stimuli on nerves supplying upper airway muscles.
D. Weiner (1982)
10.1152/JAPPL.1986.61.4.1438
Induction of periodic breathing during sleep causes upper airway obstruction in humans.
E. Onal (1986)
10.1152/JAPPL.1980.49.4.638
Activation of upper airway muscles before onset of inspiration in normal humans.
K. Strohl (1980)
Physiopathologie des apnées obstructives du sommeil.
F. Sériès (1989)
10.1002/PPUL.1950150406
Postnatal expression of myosin lsoforms in the genioglossus and diaphragm muscles.
B. Brozanski (1993)
10.1152/JAPPL.1984.57.2.528
Upper airway closing pressures in snorers.
F. Issa (1984)
10.1152/JAPPL.1982.53.5.1133
Upper airway and diaphragm muscle responses to chemical stimulation and loading.
G. Patrick (1982)
10.1152/JAPPL.1989.67.3.973
Effects of respiratory drive on upper airways in sleep apnea patients and normal subjects.
F. Sériès (1989)
10.1152/JAPPL.1990.69.6.2280
Cholinergic stimulation of the pons depresses respiration in decerebrate cats.
H. Kimura (1990)
10.1152/JAPPL.1991.70.6.2574
Influence of sleep on tensor palatini EMG and upper airway resistance in normal men.
D. J. Tangel (1991)
10.1152/JAPPL.1987.63.4.1642
Changes in end-expiratory lung volume during sleep in patients with occlusive apnea.
R. Aronson (1987)
10.1111/J.1748-1716.1980.TB06650.X
Morphological and histochemical properties of tongue muscles in cat.
E. Hellstrand (1980)
10.1164/AJRCCM/148.3.606
Pharyngeal narrowing and closing pressures in patients with obstructive sleep apnea.
D. Morrison (1993)
10.1097/00000542-198905000-00018
Effects of varying concentrations of halothane on the activity of the genioglossus, intercostals, and diaphragm in cats: an electromyographic study.
R. Ochiai (1989)
10.1016/0014-4886(81)90084-4
Intracellular potential of medullary reticular neurons during sleep and wakefulness
M. Chase (1981)
10.1164/ARRD.1981.124.3.215
Diaphragmatic and genioglossal electromyogram responses to isocapnic hypoxia in humans.
E. Onal (1981)
10.1164/AJRCCM/148.3.597
Influence of sleep on genioglossus muscle activation by negative pressure in normal men.
J. Wheatley (1993)
10.1016/0014-4886(76)90061-3
The human tongue during sleep: Electromyographic activity of the genioglossus muscle
E. Sauerland (1976)
10.1152/JAPPL.1991.71.2.488
Changes in upper airway muscle activation and ventilation during phasic REM sleep in normal men.
L. Wiegand (1991)
10.1164/AJRCCM/148.1.195
Mandible enclosure of upper airway and weight in obstructive sleep apnea.
K. E. Shelton (1993)
10.1164/AJRCCM/137.4.889
Upper airway muscle activation is augmented in patients with obstructive sleep apnea compared with that in normal subjects.
P. Suratt (1988)
10.1164/AJRCCM/147.1.182
Site of pharyngeal narrowing predicts outcome of surgery for obstructive sleep apnea.
S. Launois (1993)
10.1164/AJRCCM/138.1.16
Alteration in obstructive apnea pattern induced by changes in oxygen- and carbon-dioxide-inspired concentrations.
D. Hudgel (1988)
10.1152/JAPPL.1990.69.4.1262
Geniohyoid muscle activity in normal men during wakefulness and sleep.
D. Wiegand (1990)
10.1136/thx.45.10.722
Pharyngeal shape and dimensions in healthy subjects, snorers, and patients with obstructive sleep apnoea.
D. Rodenstein (1990)
10.1164/AJRCCM/148.1.179
Strength and endurance characteristics of the normal human genioglossus.
A. Scardella (1993)
10.1152/JAPPL.1982.53.6.1504
Central and peripheral chemoreceptor inputs to phrenic and hypoglossal motoneurons.
E. Bruce (1982)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar