The mandible advancement may alter the coordination between breathing and the non‐nutritive swallowing reflex
Identifieur interne : 004678 ( Istex/Curation ); précédent : 004677; suivant : 004679The mandible advancement may alter the coordination between breathing and the non‐nutritive swallowing reflex
Auteurs : T. Ayuse ; T. Ayuse [Japon] ; S. Ishitobi ; H. Yoshida ; T. Nogami ; S. Kurata [Japon] ; Y. Hoshino [Japon] ; K. Oi [Japon]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2010-05.
English descriptors
- KwdEn :
- Advancement, Airway, Alveolar ventilation, Apnea, Apnoea, Ayuse, Blackwell publishing, Centric, Clinical implications, Collapsibility, Continuous infusion, Craniofacial morphology, Experimental protocol, Hyoid movement, Infusion, Inspiratory, Inspiratory duty cycle, Mandible, Mandible advancement, Mandible advancement position, Mandible position, Mandibular, Minute ventilation, Mouth opening, Nagasaki university graduate school, Nasal, Nasal breathing, Neutral position, Normal adults, Obstructive, Oral appliances, Oral rehabil, Pharyngeal, Previous studies, Previous study, Resetting, Respiration, Respiratory cycle phase, Respiratory drive, Respiratory function, Respiratory loads, Respiratory parameters, Respiratory phase resetting, Respiratory rate, Several studies, Submental, Supine, Supine position, Tidal volume, Upper airway collapsibility, Upper airway patency, Water infusion.
- Teeft :
- Advancement, Airway, Alveolar ventilation, Apnea, Apnoea, Ayuse, Blackwell publishing, Centric, Clinical implications, Collapsibility, Continuous infusion, Craniofacial morphology, Experimental protocol, Hyoid movement, Infusion, Inspiratory, Inspiratory duty cycle, Mandible, Mandible advancement, Mandible advancement position, Mandible position, Mandibular, Minute ventilation, Mouth opening, Nagasaki university graduate school, Nasal, Nasal breathing, Neutral position, Normal adults, Obstructive, Oral appliances, Oral rehabil, Pharyngeal, Previous studies, Previous study, Resetting, Respiration, Respiratory cycle phase, Respiratory drive, Respiratory function, Respiratory loads, Respiratory parameters, Respiratory phase resetting, Respiratory rate, Several studies, Submental, Supine, Supine position, Tidal volume, Upper airway collapsibility, Upper airway patency, Water infusion.
Abstract
Summary The coordination between nasal breathing and non‐nutritive swallowing serves as a protective reflex against potentially asphyxiating material, i.e. saliva and secretions, entering the respiratory tract. Although this protective reflex is influenced by positional changes in the head and body, the effect of mandible position on this reflex is not fully understood. We examined the effect of mandible advancement associated with mouth opening on the coordination between nasal breathing and non‐nutritive swallowing induced by continuous infusion of distilled water into the pharyngeal cavity. The combination of mandible advancement and mouth opening increased the duration of swallowing apnoea and submental electromyographic burst duration. When the mandible was advanced with the mouth open, the duration of swallowing apnoea increased significantly compared with the centric position (0·79 ± 0·23 vs. 0·64 ± 0·12 s, P < 0·05, n = 12), and the duration of submental electromyographic activity increased significantly (2·11 ± 0·63 vs. 1·46 ± 0·25 s, P < 0·05, n = 12). Mandible advancement with mouth opening altered the respiratory phase resetting during swallowing and the timing of swallow in relation to respiratory cycle phase. We conclude that mandible re‐positioning may strongly influence the coordination between nasal breathing and non‐nutritive swallowing by altering respiratory parameters and by inhibiting movement of the tongue–jaw complex.
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DOI: 10.1111/j.1365-2842.2010.02067.x
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T. Ayuse<affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation>Le document en format XML
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Ayuse</name><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Ayuse, T" sort="Ayuse, T" uniqKey="Ayuse T" first="T." last="Ayuse">T. Ayuse</name><affiliation wicri:level="1"><mods:affiliation>Department of Translational Medical Sciences, Course of Medical and Dental Sciences, Division of Clinical Physiology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki‐shi, Japan</mods:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Translational Medical Sciences, Course of Medical and Dental Sciences, Division of Clinical Physiology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki‐shi</wicri:regionArea></affiliation></author><author><name sortKey="Ishitobi, S" sort="Ishitobi, S" uniqKey="Ishitobi S" first="S." last="Ishitobi">S. Ishitobi</name><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Yoshida, H" sort="Yoshida, H" uniqKey="Yoshida H" first="H." last="Yoshida">H. Yoshida</name><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Nogami, T" sort="Nogami, T" uniqKey="Nogami T" first="T." last="Nogami">T. Nogami</name><affiliation><mods:affiliation>Department of Special Care Dentistry, Nagasaki University Hospital</mods:affiliation><wicri:noCountry code="subField">Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Kurata, S" sort="Kurata, S" uniqKey="Kurata S" first="S." last="Kurata">S. 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Although this protective reflex is influenced by positional changes in the head and body, the effect of mandible position on this reflex is not fully understood. We examined the effect of mandible advancement associated with mouth opening on the coordination between nasal breathing and non‐nutritive swallowing induced by continuous infusion of distilled water into the pharyngeal cavity. The combination of mandible advancement and mouth opening increased the duration of swallowing apnoea and submental electromyographic burst duration. When the mandible was advanced with the mouth open, the duration of swallowing apnoea increased significantly compared with the centric position (0·79 ± 0·23 vs. 0·64 ± 0·12 s, P < 0·05, n = 12), and the duration of submental electromyographic activity increased significantly (2·11 ± 0·63 vs. 1·46 ± 0·25 s, P < 0·05, n = 12). Mandible advancement with mouth opening altered the respiratory phase resetting during swallowing and the timing of swallow in relation to respiratory cycle phase. We conclude that mandible re‐positioning may strongly influence the coordination between nasal breathing and non‐nutritive swallowing by altering respiratory parameters and by inhibiting movement of the tongue–jaw complex.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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