Ito H
Department of Otorhinolaryngology and Physiology, School of Medicine, Chiba University.
Nihon Jibiinkoka Gakkai Kaiho. 1992 Aug;95(8):1164-73.
To investigate the effect of vibratory stimuli of the subglottic mucosa on the laryngeal reflex, experiments were performed on cats anesthetized with intraperitoneal injection of a mixture of urethane and chloralose. The external branch of the superior laryngeal nerve was cut, while the internal branch of the superior laryngeal nerve (ISLN) was mounted on stimulating electrodes. Electromyograms (EMG) were recorded from the contralateral thyreoarytenoid (TA), posterior cricoarytenoid (PCA), lateral cricoarytenoid (LCA), and cricothyreoid (CT) muscles. When the ISLN was electrically stimulated, the laryngeal reflex was induced. Short latency (early) and long latency (late) responses were observed in TA, PCA, LCA, and CT. Then, vibratory stimuli were applied to the surface of the subglottic mucosa. Vibratory frequencies used in this study were varied stepwise from 100 Hz to 400 Hz, with the amplitude adjusted at 20 microns. Vibratory stimuli had no effect on early responses but did, however, exert a facilitatory effect on late responses of TA and LCA in the transitional phase from inspiration to expiration and on late responses of PCA in the inspiratory phase. After denervation of ISLN, the vibratory effect on late responses disappeared completely. No significant vibratory effect was observed on CT in any respiratory phase. These results suggest that vibratory stimuli applied to the surface of the subglottic mucosa reflexively facilitate the laryngeal reflex and that ISLN afferents and respiratory drive modulate the laryngeal reflex.
为研究声门下黏膜的振动刺激对喉反射的影响,对腹腔注射乌拉坦和氯醛糖混合物麻醉的猫进行了实验。切断喉上神经外支,同时将喉上神经内支(ISLN)置于刺激电极上。从对侧甲杓肌(TA)、环杓后肌(PCA)、环杓侧肌(LCA)和环甲肌(CT)记录肌电图(EMG)。电刺激ISLN时,可诱发喉反射。在TA、PCA、LCA和CT中观察到短潜伏期(早期)和长潜伏期(晚期)反应。然后,对声门下黏膜表面施加振动刺激。本研究中使用的振动频率从100Hz逐步变化到400Hz,振幅调整为20微米。振动刺激对早期反应无影响,但在吸气到呼气的过渡阶段对TA和LCA的晚期反应以及吸气期PCA的晚期反应有促进作用。ISLN去神经后,对晚期反应的振动作用完全消失。在任何呼吸阶段,CT均未观察到明显的振动效应。这些结果表明,施加于声门下黏膜表面的振动刺激可反射性促进喉反射,且ISLN传入神经和呼吸驱动调节喉反射。