Economo published about 150 articles and books. In his early studies, he concentrated on the neuroanatomy and physiology of the midbrain, pons and trigeminal nerve pathway and wrote articles dealing for example with choreic hemiplegia, pontine tumors, mastication and deglutition.
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As soon as the bolus of food is received in the pharynx, the elevator muscles relax, the pharynx descends, and the constrictors contract upon the bolus, and convey it downward into the esophagus. During deglutition, they contract and cause peristaltic movement in the pharynx.
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The tongue is skeletal muscle on the floor of the mouth of most vertebrates, that manipulates food for chewing (mastication) and swallowing (deglutition). It is sensitive and kept moist by saliva. The underside of the tongue is covered with a smooth mucous membrane. The tongue also has a touch sense for locating and positioning food particles that require further chewing.
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In the active skeletal growth, mouthbreathing, finger sucking, thumb sucking, pacifier sucking, onychophagia (nail biting), dermatophagia, pen biting, pencil biting, abnormal posture, deglutition disorders and other habits greatly influence the development of the face and dental arches. Pacifier sucking habits are also correlated with otitis media. Dental caries, periapical inflammation and tooth loss in the deciduous teeth can alter the correct permanent teeth eruptions.
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Dentofacial and functional malocclusions can also affect normal speech. Non-physiologic function of the tongue has been considered an important aetiological factor of malocclusions. The tongue is an important organ contributing to deglutition, speech, growth and development of the jaws, and alignment of the teeth in occlusion. The effect of the tongue on growth of the jaws and development of the occlusion is a result of its pressure on the teeth and other areas during rest and function.
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Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing is an important part of eating and drinking. If the process fails and the material (such as food, drink, r medicine) goes through the trachea, then choking or pulmonary aspiration can occur. In the human body the automatic temporary closing of the epiglottis is controlled by the swallowing reflex.
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The salpingopharyngeus muscle arises from the superior border of the medial cartilage of the pharyngotympanic tube (Eustachian tube), in the nasal cavity, making the posterior welt of the torus tubarius; it passes downward and blends with the posterior fasciculus of the palatopharyngeus muscle. The salpingopharyngeus is known to raise the pharynx and larynx during deglutition (swallowing) and laterally draws the pharyngeal walls up. In addition, it opens the pharyngeal orifice of the pharyngotympanic tube during swallowing. This allows for the equalization of pressure between the auditory canal and the pharynx.
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He was born in Hertfordshire and educated as a surgeon. He became a member of the Corporation of Surgeons, and practised as such for some years at Lewes, Sussex. In 1761, while still an apprentice surgeon, he made his discovery of the unique and bizarre cause—compression of the oesophagus by an aberrant right subclavian artery—of a fatal case of obstructed deglutition for which he coined the term dysphagia lusoria and for which he is eponymously remembered. This discovery remained unrecorded until 1787, when a paper describing the case was read on his behalf before the Medical Society of London.
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Andrade is particularly important for his Manifesto Antropófago (Anthropophagist Manifesto), published in 1928. Its argument is that colonized countries, such as Brazil, should ingest the culture of the colonizer and digest it in its own way. The text is explicitly inspired in Michel de Montaigne, Karl Marx, Sigmund Freud and André Breton, and is composed through a procedure of "deglutition" of some of the most renowned manifestos of the Western culture, such as the Manifesto of the Communist Party and the Surrealist Manifesto. Andrade distinguishes Anthropophagy from cannibalism (low anthropophagy) on the grounds that the former is a ritualistic practice to be found among indigenous peoples in Brazil; in this ritual sense, Anthropophagy functions as a rite of incorporation of the world-view of the ingested enemy.
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Clinicians are becoming more aware of the need to distinguish among swallowing disorders, presbyphagia (an old yet healthy swallow) and other related diagnoses in order to avoid over diagnosing and over treating presbyphagia. Older adults are more vulnerable and with the increased threat of acute illnesses, medications and any number of age-related conditions, they can cross the line from having a healthy older swallow to being dysphagic. Work focused primarily on the anatomy and physiology of the oropharyngeal swallowing mechanism indicates a progression of change that may put the older population at increased risk for swallowing disorders.Tracy F, Logemann JA, Kahrilas PJ, Jacob P, Kobara M, Krugla C. Preliminary observations on the effects of age on oropharyngeal deglutition. Dysphagia 1989;4:90-4.
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Additionally, the larynx is pulled up with the pharynx under the tongue by stylopharyngeus (IX), salpingopharyngeus (pharyngeal plexus—IX, X), palatopharyngeus (pharyngeal plexus—IX, X) and inferior constrictor (pharyngeal plexus—IX, X). This phase is passively controlled reflexively and involves cranial nerves V, X (vagus), XI (accessory) and XII (hypoglossal). The respiratory center of the medulla is directly inhibited by the swallowing center for the very brief time that it takes to swallow. This means that it is briefly impossible to breathe during this phase of swallowing and the moment where breathing is prevented is known as deglutition apnea. 10) Hyoid elevation The hyoid is elevated by digastric (V & VII) and stylohyoid (VII), lifting the pharynx and larynx up even further.
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More progressed patients show weakness in deglutition, leading to spastic coughing fits due to inhaled saliva. Classic symptomatic progression of juvenile X-linked adrenoleukodystrophy is shown in the 1992 film, Lorenzo's Oil.. Course and timetable are dependent on the age of onset with infants showing a lifespan of 2–8 years, juveniles 2–10 years and adults typically 10+ years. Adults typically see an extended period of stability followed by a decline to a vegetative state and death. While treatments do exist, most are in the experimental phase and can only promise a halt in the progression of symptoms, although some gene therapies have shown some symptomatic improvement. The debilitating course of the disease has led to numerous philosophical and ethical arguments over experimental clinical trials, patients’ rights and physician-assisted suicide.
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The facial artery arises in the carotid triangle from the external carotid artery a little above the lingual artery and, sheltered by the ramus of the mandible, passes obliquely up beneath the digastric and stylohyoid muscles, over which it arches to enter a groove on the posterior surface of the submandibular gland. It then curves upward over the body of the mandible at the antero-inferior angle of the masseter; passes forward and upward across the cheek to the angle of the mouth, then ascends along the side of the nose, and ends at the medial commissure of the eye, under the name of the angular artery. The facial artery is remarkably tortuous. This is to accommodate itself to neck movements such as those of the pharynx in deglutition; and facial movements such as those of the mandible, lips, and cheeks.
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