title: Respiratory-related activity of soft palate muscles: augmentation by negative upper airway pressure.
abstract: We studied respiratory-related activity of the soft palate muscles in 10 anesthetized tracheostomized supine dogs. Moving time average (MTA) electromyographic (EMG) activity was measured in the palatinus (PAL), levator veli palatini (LP), and tensor veli palatini (TP) with bipolar fine-wire electrodes and in the diaphragm with bipolar hook electrodes. Measurements were made during tracheostomy breathing and nasal breathing with the mouth sealed (NB). During tracheostomy breathing, all soft palate muscles displayed respiratory-related phasic inspiratory and expiratory as well as tonic EMG activity. During NB, peak inspiratory EMG activity increased in PAL, LP, and TP because of an increase in both phasic inspiratory and tonic MTA activity. In contrast, phasic expiratory activity did not change. A constant negative pressure equal to peak inspiratory tracheal pressure during NB was applied to the caudal end of the isolated upper airway with the nose occluded. This was associated with soft palate muscle responses qualitatively similar to the responses during NB but accounted for only 39, 25, and 32% of the magnitude of the peak inspiratory MTA EMG responses to NB in PAL, LP, and TP, respectively. Our results demonstrate that the soft palate muscles exhibit respiratory-related activity in common with other upper airway muscles. Furthermore, such activity is augmented in each soft palate muscle during NB, and negative upper airway pressure makes a substantial contribution to the recruitment of soft palate muscle activity.
authors.affiliation: Department of Respiratory Medicine, Westmead Hospital, New South Wales, Australia.
authors.forename: T
authors.initials: T
authors.lastname: Van der Touw
authors.forename: N
authors.initials: N
authors.lastname: O'Neill
authors.forename: A
authors.initials: A
authors.lastname: Brancatisano
authors.forename: T
authors.initials: T
authors.lastname: Amis
authors.forename: J
authors.initials: J
authors.lastname: Wheatley
authors.forename: L A
authors.initials: LA
authors.lastname: Engel
mesh_terms: D000758:Anesthesia; D000818:Animals; D003964:Diaphragm / Q000502:physiology; D004285:Dogs; D004558:Electric Stimulation; D004576:Electromyography; D010156:Palatal Muscles / Q000502:physiology*; D010160:Palate, Soft / Q000502:physiology*; D015656:Respiratory Mechanics / Q000502:physiology*; D016683:Supine Position / Q000502:physiology; D014132:Trachea / Q000502:physiology; D014139:Tracheostomy; D014609:Uvula / Q000502:physiology; D015919:Ventilators, Negative-Pressure