Swallowing is how we move food and drinks from our mouth to our stomach safely. It involves many parts of our body working together, like our tongue, throat, and a special flap called the epiglottis that keeps food from going into our lungs.
The pharyngeal phase is a critical stage in the swallowing process where the bolus is involuntarily propelled from the oropharynx to the esophagus through coordinated muscle contractions. This phase ensures that the airway is protected by closing the epiglottis and involves complex neural control to prevent aspiration.
The swallowing reflex is an involuntary action that ensures food and liquid pass safely from the mouth to the stomach, preventing aspiration into the respiratory tract. It involves a complex coordination of muscles and nerves, primarily controlled by the brainstem, to facilitate the three phases: oral, pharyngeal, and esophageal.
Oropharyngeal exercises are targeted physical therapy techniques designed to strengthen the muscles of the throat and tongue, often used to treat sleep apnea and improve swallowing function. These exercises can enhance airway stability and reduce the severity of obstructive sleep apnea by increasing muscle tone and coordination in the oropharyngeal region.
The extrinsic muscles of the tongue are responsible for altering the tongue's position, allowing for complex movements essential for speech and swallowing. These muscles originate outside the tongue and attach to it, enabling actions such as protrusion, retraction, elevation, and depression.
Videofluoroscopy is a dynamic imaging technique that combines fluoroscopy with video recording to visualize the movement of internal structures in real-time, primarily used in assessing swallowing function. It allows clinicians to observe the biomechanics of swallowing, identify abnormalities, and guide therapeutic interventions.