Protecting the airway during swallowing: what is the role for afferent surveillance?
Protecting the airway during swallowing: what is the role for afferent surveillance?
复制标题
吞咽过程中保护气道：传入监视的作用是什么？
DOI：
10.1002/hed.21907
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Paydarfar,David
中科院分区：
文献类型：
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作者：
Paydarfar,David
机械感受器在上呼吸道中普遍存在，并提供与进食有关的肌肉和结缔组织的运动和拉伸的时空信息。人类实验研究表明，在吞咽过程中，上呼吸道感觉信号为中枢神经回路提供了重要的强直性和动觉反馈，这是上呼吸道感知和喉闭合的基础。这些回路包括促进吞咽功能的脑干和皮层前馈回路。这个组织的临床意义是利用感觉系统在吞咽过程中加强喉闭合的潜力。治疗性感觉刺激是治疗皮层病变患者吞咽困难和预防吸入性肺炎的一种很有前途的方法。©2011 Wiley期刊，Inc.Head Neck, 2011
Mechanoreceptors are ubiquitous throughout the upper aerodigestive tract and provide spatiotemporal information on movement and stretch of muscles and connective tissues involved in feeding. Experimental studies in humans suggest that upper airway sensory signals provide important tonic and kinesthetic feedback to central neural circuits underlying upper airway perception and laryngeal closure during swallowing. These circuits include brainstem and cortical feedforward loops that facilitate swallowing function. A clinical implication of this organization is the potential to harness the sensory system for enhancing laryngeal closure during swallowing. Therapeutic sensory stimulation is a promising method for treating dysphagia and preventing aspiration pneumonia in patients with cortical lesions. © 2011 Wiley Periodicals, Inc.Head Neck, 2011