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

Closure Mechanisms Of Laryngeal Vestibule During Swallow.

J. Logemann, P. Kahrilas, J. Cheng, B. Pauloski, P. Gibbons, A. Rademaker, S. Lin
Published 1992 · Biology, Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
This study examined the temporal effects of bolus volume on closure of the laryngeal vestibule at the arytenoid to epiglottic base and the mobile portion of the epiglottis, the temporal relationships between these levels of airway closure and cricopharyngeal opening for various bolus volumes, and the mechanisms responsible for these two levels of airway protection during deglutition. Closure of the laryngeal vestibule progressed inferiorly to superiorly at all bolus volumes. Duration of closure of the airway at the arytenoid to epiglottic base increased systematically with bolus volume, as did the duration of descent of the epiglottis below horizontal. Closure at the arytenoid to epiglottic base occurred earlier in relation to maximal laryngeal elevation as bolus volume increased. In contrast, descent of the epiglottis to horizontal and the temporal relationship between closure of the airway at the arytenoid to epiglottic base and cricopharyngeal opening were independent of bolus volume. These findings indicate a tightly organized neural program for some pharyngeal swallow events with systematic variability with volume in other pharyngeal events, possibly modulated by afferent input from the periphery. The neuromuscular mechanisms responsible for closure of the airway at the arytenoid to epiglottic base and at the mobile epiglottis appear to be quite different. Closure at the arytenoid to epiglottic base is apparently under direct neural control by active anterior tilting of the arytenoid cartilage and posterior projection of the epiglottic base as the larynx elevates, whereas epiglottic downward movement to closure is the biomechanical effect of hyolaryngeal movement, downward bolus movement, and tongue base retraction.(ABSTRACT TRUNCATED AT 250 WORDS)



This paper is referenced by
10.1159/000021497
Behavioral Management for Oropharyngeal Dysphagia
J. Logemann (1999)
10.1007/s00455-020-10199-8
Abnormalities of Aspiration and Swallowing Function in Survivors of Acute Respiratory Failure
S. Langmore (2020)
10.1007/s00405-019-05664-6
Swallowing outcomes after pediatric epiglottopexy
S. Kanotra (2019)
10.14288/1.0072854
The effects of muscle aging on hyoid motion during swallowing : a study using a 3D biomechanical model
Ling Tsou (2012)
10.3390/cancers11040549
Swallowing Safety and Efficiency after Open Partial Horizontal Laryngectomy: A Videofluoroscopic Study
N. Pizzorni (2019)
10.1016/B978-1-4377-0884-4.10027-8
Rehabilitation of Patients with Swallowing Disorders
J. Palmer (2011)
10.1016/S1879-8527(09)72834-5
Troubles fonctionnels du pharynx et de l'oesophage : évaluation par l'étude dynamique à produits de contraste
D. Vanbeckevoort (2009)
Effects of Oropharyngeal Strengthening Exercise (OSE) on Tongue Strength, Submental Muscle Activity, and Quality of Life in a Healthy Elderly Population
Taeok Park (2015)
10.3109/02841851003645751
Flow properties of oral contrast medium formulations depend on the temperature
O. Ekberg (2010)
Tongue pressure : a key limiting aspect in bolus swallowing
W. A. Alsanei (2015)
Kinematic and Temporal Variability in Healthy and Disordered Swallowing
Sonja M Molfenter (2014)
10.1007/BF00301919
Indications and techniques of endoscopy in evaluation of cervical dysphagia: Comparison with radiographic techniques
T. Kidder (2004)
10.1007/s00455-010-9276-2
Evaluation of Swallowing Using 320-detector-row Multislice CT. Part II: Kinematic Analysis of Laryngeal Closure during Normal Swallowing
Y. Inamoto (2010)
10.1016/S0003-9969(00)00108-4
Ontogeny of postnatal hyoid and larynx descent in humans.
D. Lieberman (2001)
10.1016/S1632-3475(15)72752-9
Fisiología de la deglución normal
Franck Marmouset (2015)
10.1007/s00455-016-9779-6
History of the Use and Impact of Compensatory Strategies in Management of Swallowing Disorders
C. Lazarus (2016)
10.5535/arm.2020.44.1.1
Epiglottic Retroflexion is a Key Indicator of Functional Recovery of Post-stroke Dysphagia
J. H. Choi (2020)
10.1016/j.amjoto.2018.01.008
Simple laryngeal suspension procedure by suturing the digastric muscle to the periosteum of the mandible in neck dissection for tongue cancer.
Akira Ohkoshi (2018)
10.1007/BF03012598
Anesthesia of the airway by aspiration of lidocaine
D. Chung (1999)
10.1016/J.IJROBP.2004.05.050
Dysphagia and aspiration after chemoradiotherapy for head-and-neck cancer: which anatomic structures are affected and can they be spared by IMRT?
A. Eisbruch (2004)
10.1007/s00221-006-0592-6
Cerebral cortical processing of swallowing in older adults
R. Martin (2006)
CHARACTERISTICS OF EPIGLOTTIC INVERSION IN CHILDREN WITH CEREBRAL PALSY
Abigail Cryan (2016)
Effects of neuromuscular electrical stimulation intensity and bolus size on hyoid movement
Christine M. Carmichael (2008)
Articulatory-Acoustic Relationships in Swedish Vowel Sounds
C. Ericsdotter (2005)
10.1177/0194599818824302
Airway Closure Delay: The Predominant Pathophysiology in Reflux-Associated Dysphagia
K. Kendall (2019)
10.5772/60742
Dysphagia in Chronic Obstructive Pulmonary Disease
Livia Scelza (2015)
10.4037/AJCC2008.17.6.504
Swallowing disorders as a predictor of unsuccessful extubation: a clinical evaluation.
Philippe Colonel (2008)
10.1007/s00455-009-9257-5
Gender Effects on Airway Closure in Normal Subjects
Atsuko Kurosu (2009)
An exploration of swallowing stimulation in the infant
S. E. Hegyi (2011)
10.1111/j.1460-6984.2011.00082.x
Tongue-pressure and hyoid movement timing in healthy liquid swallowing.
C. Steele (2012)
10.1044/JSHR.3803.556
Effects of a sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagia.
J. Logemann (1995)
10.5772/25779
Noninvasive Monitoring of Breathing and Swallowing Interaction
N. Terzi (2012)
See more
Semantic Scholar Logo Some data provided by SemanticScholar