1. XROMM and diceCT reveal a hydraulic mechanism of tongue base retraction in swallowing
- Author
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Nicholas J. Gidmark, Callum F. Ross, Tingran Gao, and Courtney P. Orsbon
- Subjects
Epiglottis ,Physiology ,Biological anthropology ,lcsh:Medicine ,Muscular hydrostat ,Article ,Imaging ,03 medical and health sciences ,0302 clinical medicine ,Tongue ,Swallowing ,medicine ,Animals ,lcsh:Science ,Physiological Phenomena ,Multidisciplinary ,business.industry ,Biological techniques ,digestive, oral, and skin physiology ,lcsh:R ,030206 dentistry ,Anatomy ,Macaca mulatta ,Hyoglossus ,Deglutition ,Bone quality and biomechanics ,Experimental models of disease ,Laryngeal inlet ,medicine.anatomical_structure ,Preclinical research ,Feeding behaviour ,Styloglossus ,Suprahyoid muscles ,lcsh:Q ,Experimental organisms ,business ,030217 neurology & neurosurgery - Abstract
During primate swallowing, tongue base retraction (TBR) drives the food bolus across the oropharynx towards the esophagus and flips the epiglottis over the laryngeal inlet, protecting against penetration and aspiration of food into the airway. Despite the importance of TBR for swallowing performance, the mechanics of TBR are poorly understood. Using biplanar videoradiography (XROMM) of four macaque monkeys, we tested the extrinsic muscle shortening hypothesis, which posits that shortening of the hyoglossus and styloglossus muscles pulls the tongue base posteriorly, and the muscular hydrostat or intrinsic tongue muscle hypothesis, which suggests that, because the tongue is composed of incompressible fluid, intrinsic muscle shortening increases tongue length and displaces the tongue base posteriorly. Our data falsify these hypotheses. Instead we suggest a novel hydraulic mechanism of TBR: shortening and rotation of suprahyoid muscles compresses the tongue between the hard palate, hyoid and mouth floor, squeezing the midline tongue base and food bolus back into the oropharynx. Our hydraulic mechanism is consistent with available data on human tongue swallowing kinematics. Rehabilitation for poor tongue base retraction might benefit from including suprahyoid muscle exercises during treatment.
- Published
- 2020
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