Otolaryngology head and neck surgery: an integrative view of the larynx.
Otolaryngology head and neck surgery: an integrative view of the larynx.
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DOI：
10.1002/hed.21901
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发表时间：
2011-10
影响因子：
2.9
通讯作者：
Ciucci, Michelle R.
中科院分区：
文献类型：
--
作者：
McCulloch, Timothy M.;Van Daele, Douglas;Ciucci, Michelle R.
声门由肌肉、软骨和其他粘弹性组织组成，它们执行一些最重要的、复杂的、协调的和维持生命的功能。喉部由甲颧肌和相关的声门闭合肌肉支配，参与呼吸、吞咽、发声、咳嗽、呕吐、大笑和哭泣。当呼吸在背景中持续时，所有其他“次要”喉部事件都会无缝地发生。当协调这些事件的微妙平衡因疾病或紊乱而被打乱时，其中许多任务就会受到影响。由于这些意志性和反射性任务与脑干中枢模式生成器、主要感觉运动区以及重要的边缘区域的复杂神经支配，可能会因疾病、解剖结构损害甚至情绪状态而失败。了解感觉-运动控制水平以及共享这些喉神经肌肉底物的系统之间的相互作用将提高临床医生在治疗喉功能受损时的诊断和治疗技能。
The glottis is composed of muscular, cartilaginous, and other viscoelastic tissues which perform some of our most important, complex, coordinated, and life-sustaining functions. Dominated by the thyroarytenoid muscles and associated glottic closure muscles, the larynx is involved in respiration, swallowing, voicing, coughing, valsalva, vomiting, laughing, and crying. With respiration continuing in the background, all other “secondary” laryngeal events seamlessly occur. When the delicate balance of coordinating these events is disrupted by disease or disorder, many of these tasks are compromised. Due to the complex innervation of these volitional and reflexive tasks with brainstem central pattern generators, primary sensorimotor areas and importantly, limbic areas, failure can occur due to disease, anatomic compromise, and even emotional state. Understanding the level of sensori-motor control and interaction among systems that share these laryngeal neuromuscular substrates will improve the diagnostic and therapeutic skill of the clinician when treating compromise of laryngeal function.
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