Assessment of muscle action on upper airway stability in anesthetized dogs. 1987

K P Strohl, and A D Wolin, and E van Lunteren, and J M Fouke

Skeletal muscle activation is believed to be important in the maintenance of upper airway patency. To determine where and how muscles affect pharyngeal stability, we assessed in heavily anesthetized, ventilated dogs, the negative pressure required to close the nasopharynx and the passage from the oral to the pharyngeal airway before and after electrical stimulation of six pairs of upper airway muscles: the sternohyoid, sternothyroid, ceratohyoid, thyrohyoid, genioglossus, and geniohyoid. Before muscle stimulation, the pressures required to close the nasopharynx and the oral passage were -9.8 +/- 2.3 (mean +/- SEM) and -4.9 +/- 1.9 cm H2O, respectively. Submaximal electrical stimulation of each of the six muscle pairs caused consistent and substantial improvements in nasopharynx closing pressure. In contrast, the stabilizing actions of these muscles on the oral passage was less consistent and smaller in magnitude. Using pressure in the sealed upper airway as an index of forces acting on the airway, we found a strong association between the effect of muscle stimulation on the closing pressure and the effect of muscle stimulation on producing a dilating force on the airway. We conclude that muscles in the anterior and lateral pharyngeal wall improve nasopharynx stability to a greater extent than oral passage stability and that the action by any of these six muscle pairs improves airway stability through their ability to dilate the upper airway.

UI MeSH Term Description Entries
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009305 Nasopharynx The top portion of the pharynx situated posterior to the nose and superior to the SOFT PALATE. The nasopharynx is the posterior extension of the nasal cavities and has a respiratory function. Rhinopharynx,Choanae,Nasopharynges,Nasopharynxes,Rhinopharynges,Rhinopharynxes
D009960 Oropharynx The middle portion of the pharynx that lies posterior to the mouth, inferior to the SOFT PALATE, and superior to the base of the tongue and EPIGLOTTIS. It has a digestive function as food passes from the mouth into the oropharynx before entering ESOPHAGUS. Oropharynxs
D010609 Pharyngeal Muscles The muscles of the PHARYNX are voluntary muscles arranged in two layers. The external circular layer consists of three constrictors (superior, middle, and inferior). The internal longitudinal layer consists of the palatopharyngeus, the salpingopharyngeus, and the stylopharyngeus. During swallowing, the outer layer constricts the pharyngeal wall and the inner layer elevates pharynx and LARYNX. Palatopharyngeus,Muscles of Pharynx,Palatopharyngeal Muscle,Salpingopharyngeus,Stylopharyngeus,Velopharyngeal Muscle,Muscle, Palatopharyngeal,Muscle, Pharyngeal,Muscle, Velopharyngeal,Muscles, Pharyngeal,Pharyngeal Muscle,Pharynx Muscle,Pharynx Muscles
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D000403 Airway Resistance Physiologically, the opposition to flow of air caused by the forces of friction. As a part of pulmonary function testing, it is the ratio of driving pressure to the rate of air flow. Airway Resistances,Resistance, Airway,Resistances, Airway
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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