Dynamic control of the larynx and future perspectives in the management of deglutitive aspiration.
The approach to deglutitive aspiration presented in this article is original. It permitted restoring the dynamic nature of the swallowing process in immobile largynges, a situation found when function has been abolished through central neurological deficit. The necessity, in the author's view, for a miniaturized electronic system bypassing the diseased centers able to produce tight glottic closure in a canine model during pharyngeal stimulation is emphasized. There is hope that we may ultimately move towards human implantation if the proposed electronics will be well tolerated over time.
Broniatowski
M
M
Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic Foundation, Ohio.
D003680:Deglutition Disorders / Q000628:therapy*; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D001239:Inhalation; D007830:Larynx / Q000502:physiology*; D008297:Male; D009119:Muscle Contraction; D014827:Vocal Cords