A review of the peripheral proprioceptive apparatus in the larynx
The larynx is an organ of the upper airway that participates in breathing, glutition, voice production, and airway protection. These complex functions depend on vocal fold (VF) movement, facilitated in turn by the action of the intrinsic laryngeal muscles (ILM). The necessary precise and near-instan...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-02-01
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Series: | Frontiers in Neuroanatomy |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fnana.2023.1114817/full |
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author | Ignacio Hernández-Morato Victoria X. Yu Michael J. Pitman Michael J. Pitman |
author_facet | Ignacio Hernández-Morato Victoria X. Yu Michael J. Pitman Michael J. Pitman |
author_sort | Ignacio Hernández-Morato |
collection | DOAJ |
description | The larynx is an organ of the upper airway that participates in breathing, glutition, voice production, and airway protection. These complex functions depend on vocal fold (VF) movement, facilitated in turn by the action of the intrinsic laryngeal muscles (ILM). The necessary precise and near-instantaneous modulation of each ILM contraction relies on proprioceptive innervation of the larynx. Dysfunctional laryngeal proprioception likely contributes to disorders such as laryngeal dystonia, dysphagia, vocal fold paresis, and paralysis. While the proprioceptive system in skeletal muscle derived from somites is well described, the proprioceptive circuitry that governs head and neck structures such as VF has not been so well characterized. For over two centuries, researchers have investigated the question of whether canonical proprioceptive organs, muscle spindles, and Golgi tendon organs, exist in the ILM, with variable findings. The present work is a state-of-the-art review of the peripheral component of laryngeal proprioception, including current knowledge of canonical and possible alternative proprioceptive circuitry elements in the larynx. |
first_indexed | 2024-04-09T13:08:05Z |
format | Article |
id | doaj.art-77bac2cee761456887e77e5612a8fdc3 |
institution | Directory Open Access Journal |
issn | 1662-5129 |
language | English |
last_indexed | 2024-04-09T13:08:05Z |
publishDate | 2023-02-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neuroanatomy |
spelling | doaj.art-77bac2cee761456887e77e5612a8fdc32023-05-12T12:42:43ZengFrontiers Media S.A.Frontiers in Neuroanatomy1662-51292023-02-011710.3389/fnana.2023.11148171114817A review of the peripheral proprioceptive apparatus in the larynxIgnacio Hernández-Morato0Victoria X. Yu1Michael J. Pitman2Michael J. Pitman3Department of Otolaryngology—Head and Neck Surgery, Columbia University Irving Medical Center / New York Presbyterian, New York, NY, United StatesDepartment of Otolaryngology—Head and Neck Surgery, Columbia University Irving Medical Center / New York Presbyterian, New York, NY, United StatesDepartment of Otolaryngology—Head and Neck Surgery, Columbia University Irving Medical Center / New York Presbyterian, New York, NY, United StatesThe Center for Voice and Swallowing, Department of Otolaryngology—Head and Neck Surgery, Columbia University Irving Medical Center / New York Presbyterian, New York, NY, United StatesThe larynx is an organ of the upper airway that participates in breathing, glutition, voice production, and airway protection. These complex functions depend on vocal fold (VF) movement, facilitated in turn by the action of the intrinsic laryngeal muscles (ILM). The necessary precise and near-instantaneous modulation of each ILM contraction relies on proprioceptive innervation of the larynx. Dysfunctional laryngeal proprioception likely contributes to disorders such as laryngeal dystonia, dysphagia, vocal fold paresis, and paralysis. While the proprioceptive system in skeletal muscle derived from somites is well described, the proprioceptive circuitry that governs head and neck structures such as VF has not been so well characterized. For over two centuries, researchers have investigated the question of whether canonical proprioceptive organs, muscle spindles, and Golgi tendon organs, exist in the ILM, with variable findings. The present work is a state-of-the-art review of the peripheral component of laryngeal proprioception, including current knowledge of canonical and possible alternative proprioceptive circuitry elements in the larynx.https://www.frontiersin.org/articles/10.3389/fnana.2023.1114817/fulllaryngeal proprioceptionmuscle spindlesgolgi tendon organsdysphoniavocal fold |
spellingShingle | Ignacio Hernández-Morato Victoria X. Yu Michael J. Pitman Michael J. Pitman A review of the peripheral proprioceptive apparatus in the larynx Frontiers in Neuroanatomy laryngeal proprioception muscle spindles golgi tendon organs dysphonia vocal fold |
title | A review of the peripheral proprioceptive apparatus in the larynx |
title_full | A review of the peripheral proprioceptive apparatus in the larynx |
title_fullStr | A review of the peripheral proprioceptive apparatus in the larynx |
title_full_unstemmed | A review of the peripheral proprioceptive apparatus in the larynx |
title_short | A review of the peripheral proprioceptive apparatus in the larynx |
title_sort | review of the peripheral proprioceptive apparatus in the larynx |
topic | laryngeal proprioception muscle spindles golgi tendon organs dysphonia vocal fold |
url | https://www.frontiersin.org/articles/10.3389/fnana.2023.1114817/full |
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