Smith Timothy D, Bhatnagar Kunwar P
School of Physical Therapy, Slippery Rock University, Slippery Rock, PA, United States.
Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, KY, United States.
Handb Clin Neurol. 2019;164:17-28. doi: 10.1016/B978-0-444-63855-7.00002-2.
Of the principal sensory systems (vision, olfaction, taste, hearing, and balance), olfaction is one of the oldest. This ubiquitous system has both peripheral and central subdivisions. The peripheral subdivision is comprised of the olfactory epithelium and nerve fascicles, whereas the central subdivision is made up of the olfactory bulb and its central connections. Humans lack the "accessory olfactory system" of many other mammals, exhibiting only a nonfunctioning vestige of its peripheral element, the vomeronasal organ. Compared to most mammals, major elements of the human olfactory system are reduced; for example, humans have fewer turbinates than many mammals, and their olfactory epithelia are found only on one or two of these structures and their adjacent surfaces. Nonetheless, humans retain a full complement of functional cellular elements including a regenerating population of olfactory sensory neurons. These neurons extend long ciliary processes into the mucus that form a mat of cilia on which the odorant receptors are located. The olfactory sensory neurons send their axons directly to synapse within the olfactory bulb. Mitral and tufted cells then relay impulses from the bulb to other brain regions. This chapter describes the general anatomy and microanatomy of the olfactory system.
在主要的感觉系统(视觉、嗅觉、味觉、听觉和平衡觉)中,嗅觉是最古老的系统之一。这个普遍存在的系统有外周和中枢两个分支。外周分支由嗅觉上皮和神经束组成,而中枢分支则由嗅球及其中枢连接构成。人类没有许多其他哺乳动物所具有的“副嗅觉系统”,仅表现出其外周部分——犁鼻器的一个无功能遗迹。与大多数哺乳动物相比,人类嗅觉系统的主要组成部分有所退化;例如,人类的鼻甲比许多哺乳动物少,而且他们的嗅觉上皮仅见于其中一两个结构及其相邻表面。尽管如此,人类仍保留了完整的功能性细胞成分,包括一群可再生的嗅觉感觉神经元。这些神经元将长长的纤毛突起延伸到黏液中,形成一层纤毛垫,气味受体就位于其上。嗅觉感觉神经元将其轴突直接发送到嗅球内进行突触传递。然后,二尖瓣细胞和簇状细胞将冲动从嗅球传递到其他脑区。本章将描述嗅觉系统的大体解剖和显微解剖结构。