[吞咽功能指导模型]。

Kaibogaku zasshi. Journal of anatomy Pub Date : 2008-06-01
Takahiro Satoda, Saiji Shimoe, Seicho Makihira, Mitsuhiro Tamamoto, Takeshi Murayama, Hiroki Nikawa
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引用次数: 0

摘要

教学生吞咽的机理是困难的。吞咽有三个阶段;口腔期,咽期和食道期。食物被舌头推到口腔后部,吞咽反射就发生了。鼻咽、口闭合后,声门闭合,舌骨上肌和甲状舌骨肌收缩,舌骨和喉被提起。至于会厌,它受到舌头的压迫,向下倾斜。当喉头向上向前提起时,下咽和上食道同时产生轻微的真空,咽收缩器压迫丸剂,因此丸剂通过梨状窝,吸入食道。这次,我们做了一个模型来解释这个复杂的机制。下颌骨由纸粘土制成,里面装有金属板。舌头、软腭和会厌是由EVA(乙烯醋酸乙烯)片材制成的。茎突舌骨,舌骨上肌,甲状舌骨肌由金属丝构成。此外,一个可移动的木片代表咽收缩肌的收缩。弹簧放在气管里是为了抬起喉头。食管缩窄器上部由弹簧板构成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Model for the functional instruction of swallowing].

It is difficult to teach students about the mechanism of swallowing. There are three phases of swallowing; oral phase, pharyngeal phase and esophageal phase. The bolus of food is propelled to back of mouth by the tongue and the swallowing reflex happens. After nasopharynx and mouth closure, the glottal closure occurs, then hyoid and larynx are lifted by the contractions of suprahyoid and thyrohyoid muscles. As for the epiglottis, it is compressed by the tongue and inclines downward. As the larynx is lifted upward and anteriorly, slight vacuum is caused in the lower pharynx and upper esophagus at the same time, and pharyngeal constrictor compress bolus, therefore, the bolus passes the piriform fossa, and is inhaled into the esophagus. This time, we made a model in order to explain this complicated mechanism. The mandible is made of paper clay by using a metallic plate in it. The tongue, the soft palate, and the epiglottis are made by using the EVA (Ethylene Vinyl Acetate) sheet. Styloglossus, suprahyoid, thyrohyoid muscles are made with the wire. Moreover, a movable wooden chip represents the contraction of the pharyngeal constrictor muscles. The spring is put in the trachea in order to lift the larynx. The upper part of esophageal constrictor is made with spring plates.

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