A review of the peripheral proprioceptive apparatus in the larynx.

A review of the peripheral proprioceptive apparatus in the larynx.
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DOI:
10.3389/fnana.2023.1114817
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发表时间:
2023
影响因子:
2.9
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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喉头是上呼吸道的一个器官,参与呼吸、吞咽、发声和气道保护。这些复杂的功能依赖于声带(VF)的运动,反过来又由喉内肌(ILM)的作用促进。每个ILM收缩的必要的精确和接近瞬时的调节依赖于喉的本体感觉神经支配。喉本体感觉功能障碍可能导致喉张力障碍、吞咽困难、声带麻痹和麻痹等疾病。虽然骨骼肌中的本体感觉系统来源于某些体,但支配头部和颈部结构(如VF)的本体感觉回路尚未得到很好的描述。两个多世纪以来,研究人员一直在研究ILM中是否存在典型的本体感觉器官、肌纺锤体和高尔基肌腱器官,结果不一。目前的工作是对喉部本体感觉的外周组成部分的最新综述,包括喉部规范的和可能的替代本体感觉回路元件的当前知识。
The larynx is an organ of the upper airway that participates in breathing, glutition, voice production, and airway protection. These complex functions depend on vocal fold (VF) movement, facilitated in turn by the action of the intrinsic laryngeal muscles (ILM). The necessary precise and near-instantaneous modulation of each ILM contraction relies on proprioceptive innervation of the larynx. Dysfunctional laryngeal proprioception likely contributes to disorders such as laryngeal dystonia, dysphagia, vocal fold paresis, and paralysis. While the proprioceptive system in skeletal muscle derived from somites is well described, the proprioceptive circuitry that governs head and neck structures such as VF has not been so well characterized. For over two centuries, researchers have investigated the question of whether canonical proprioceptive organs, muscle spindles, and Golgi tendon organs, exist in the ILM, with variable findings. The present work is a state-of-the-art review of the peripheral component of laryngeal proprioception, including current knowledge of canonical and possible alternative proprioceptive circuitry elements in the larynx.
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