Neurophysiology and Clinical Implications of the Laryngeal Adductor Reflex.
Neurophysiology and Clinical Implications of the Laryngeal Adductor Reflex.
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喉内收肌反射的神经生理学和临床意义。
DOI：
10.1007/s40136-013-0018-5
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发表时间：
2013
影响因子：
0.6
通讯作者：
Belafsky,PeterC
中科院分区：
文献类型：
--
作者：
Domer,AmandaS;Kuhn,MaggieA;Belafsky,PeterC
喉内收反射（LAR）是喉部对刺激的一种不自觉的保护性反应。喉上神经作为该反射的传入肢，喉返神经作为该反射的传出肢，受中枢神经系统的调节。也许LAR在临床上最重要的应用是它在喉部（LP）感觉辨别测试中的应用。重要的是，LAR的异常可能预测吞咽困难或预示慢性咳嗽、声带功能障碍或小儿呼吸暂停的临床表型。腹侧感觉是解决上述情况的干预措施的潜在目标，尽管目前仍是一个积极调查的领域。
The laryngeal adductor reflex (LAR) is an involuntary protective response to stimuli in the larynx. The superior laryngeal nerve acts as the afferent limb and the recurrent laryngeal nerve as the efferent limb of this reflex, which is modulated by the central nervous system. Perhaps the most clinically significant application of the LAR is its use in laryngopharyngeal (LP) sensory discrimination testing. Importantly, aberrations in the LAR may predict dysphagia or portend clinical phenotypes of chronic cough, vocal cord dysfunction or pediatric apneas. LP sensation is a potential target for interventions addressing the aforementioned conditions though currently remains an area of active investigation.