Timing of Major Events of Pharyngeal Swallowing
Abstract
Normal swallowing depends on the synergistic motion of the tongue, larynx, and pharyngeal wall to develop a bolus pressure gradient for bolus transit. However, few studies have provided timing relationships for clinical evaluations. To examine the timing relationships of pharyngeal anatomic motion, pressure generation, and bolus transit in the normal swallow, this study uses a new method, manofluorography, to correlate these swallowing aspects. Thirty-one events were timed by analyzing five swallows each in 14 normal subjects. A different perspective of pharyngeal physiology is presented.
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Swallowing is a pressure-driven process.
“Swallowing is a pressure-driven process;9 accordingly, detailed measurement and analysis of the changes in pressure underlying bolus transit can provide valuable information on swallowing physiology.”
From Classification of high-resolution manometry data according to videofluoroscopic parameters using pattern recognition (2013) · cites this paper as [9]
Cites
Analysis of pressure generation and bolus transit during pharyngeal swallowing
McConnel, F. M. S. (1988) · The Laryngoscope · doi:10.1288/00005537-198801000-00015 · Cited by 303 · see citing works
Self-citationThe Pharyngoesophageal Closure Mechanism: A Manometric Study
Winans, C. S. (1972) · Gastroenterology · doi:10.1016/s0016-5085(19)33209-3 · Cited by 173 · see citing works
Manometry of the Normal Upper Esophageal Sphincter and its Alterations in Laryngectomy
Welch, R. W., Luckmann, K., Ricks, P. M., et al. (1979) · Journal of Clinical Investigation · doi:10.1172/jci109372 · Cited by 164 · see citing works
Human upper esophageal sphincter. Response to volume, osmotic, and acid stimuli.
Gerhardt, D. C., Shuck, T. J., Bordeaux, R. A., et al. (1978) · PubMed · Cited by 145 · see citing works
Sokol, E. M., Heitmann, P., Wolf, B. S., & Cohen, B. R. (1966) · Gastroenterology · doi:10.1016/s0016-5085(19)34296-9 · Cited by 141 · see citing works
Quantitation of pharyngeal motor function in normal human subjects
Dodds, W. J., Hogan, W. J., Lydon, S. B., Stewart, E. T., Stef, J. J., & Arndorfer, R. C. (1975) · Journal of Applied Physiology · doi:10.1152/jappl.1975.39.4.692 · Cited by 97 · see citing works
Examination of swallowing after total laryngectomy using manofluorography
McConnel, F. M. S., Mendelsohn, M. S., & Logemann, J. A. (1986) · Head & Neck Surgery · doi:10.1002/hed.2890090103 · Cited by 90 · see citing works
Self-citationTiming in the Normal Pharyngeal Swallow
CURTIS, D. J., Cruess, D. F., Dachman, A. H., & Masó, E. (1984) · Investigative Radiology · doi:10.1097/00004424-198411000-00009 · Cited by 84 · see citing works
Clinical application of the manofluorogram
Mcconnel, M. S. F., Cerenko, D., Jackson, R. T., et al. (1988) · The Laryngoscope · doi:10.1288/00005537-198807000-00003 · Cited by 74 · see citing works
Self-citationManofluorography of deglutition after supraglottic laryngectomy
McConnel, F. M. S., Mendelsohn, M. S., & Logemann, J. A. (1987) · Head & Neck Surgery · doi:10.1002/hed.2890090303 · Cited by 69 · see citing works
Self-citationHuman upper esophageal sphincter
Gerhardt, D. C., Shuck, T. J., Bordeaux, R. A., et al. (1978) · Gastroenterology · doi:10.5555/uri:pii:0016508578904158 · Cited by 30 · see citing works
Manometric Studies of the Upper Esophageal Sphincter
Berlin, B. P., Tedesco, F. J., Fierstein, J. T., et al. (1977) · Annals of Otology Rhinology & Laryngology · doi:10.1177/000348947708600506 · Cited by 26 · see citing works
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Hyoid Movement During Swallowing in Older Patients With Dysphagia
Kendall, K. A., & Leonard, R. J. (2001) · Archives of Otolaryngology–Head & Neck Surgery · doi:10.1001/archotol.127.10.1224 · Cited by 127 · see citing works
Hoffman, M. R., Jones, C. A., Geng, Z., Abelhalim, S. M., Walczak, C. C., Mitchell, A. R., Jiang, J. J., & McCulloch, T. M. (2013) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599813489506 · Cited by 45 · see citing works
Swallow segmentation with artificial neural networks and multi-sensor fusion
Lee, J., Steele, C. M., & Chau, T. (2009) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2009.07.001 · Cited by 40 · see citing works
- Authors
- McConnel, F. M. S., Cerenko, D., Jackson, R. T., & Guffin, T. N.
- Affiliations
- Emory University (US)
- Venue
- Archives of Otolaryngology - Head and Neck Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 1988-12-01
- Volume
- 114
- Issue
- 12
- Pages
- 1413-1418
- ISSN
- 0886-4470 (ISSN-L)
- OpenAlex
- W2074979531
- Cited by
- 107
- References
- 12
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 1 · 2012: 7
- FWCI
- 11.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Otolaryngology - Head and Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Rheumatology › Oropharyngeal Anatomy and Pathologies
- Keywords
- pharyngeal swallowing, bolus transit, laryngeal elevation, tongue movement
- MeSH terms
- Deglutition, Fluoroscopy, Humans, Manometry, Pharynx, Reference Values, Time Factors
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