Anatomy of the upper esophageal sphincter [Anatomie des oberen Ösophagussphinkters]

被引:0
作者
Jungheim M. [1 ]
Miller S. [1 ]
Kühn D. [1 ]
Schwemmle C. [1 ]
Schneider J.P. [2 ]
Ochs M. [2 ]
Ptok M. [1 ]
机构
[1] Klinik und Poliklinik für Phoniatrie und Pädaudiologie, Medizinische Hochschule Hannover, 30625 Hannover
[2] Institut für Funktionelle und Angewandte Anatomie, Medizinische Hochschule Hannover, Hannover
关键词
Dysphagia; Larynx; Pharynx; Swallowing; Upper esophageal sphincter;
D O I
10.1007/s00106-014-2845-1
中图分类号
学科分类号
摘要
The upper esophageal sphincter (UES) forms a barrier between the pharynx and the esophagus. When closed, the barrier function serves to prevent reflux and aerophagia; when open, swallowing, belching and vomiting are possible. The closing muscles include caudal parts of the inferior pharyngeal sphincter and cranial parts of the upper esophagus musculature. Sphincter opening is achieved by muscles that insert from the outside to connect to the larynx and pharynx in the sphincter region. The closing muscles are innervated by branches of the glossopharyngeal and vagal nerves, and central control is probably mediated by several reflexes. This article presents an overview of the current understanding of the complex UES anatomy. © 2014 Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:385 / 394
页数:9
相关论文
共 26 条
  • [1] Jungheim M., Miller S., Kuhn D., Et al., Physiologie des oberen Ösophagussphinkters, HNO, (2014)
  • [2] Lang I.M., Development, anatomy, and physiology of the upper esophageal sphincter and pharyngoesophageal junction, Principles of deglutition: A multidisciplinary text for swallowing and its disorders, pp. 235-255, (2013)
  • [3] Zilles K., Tillmann B.N., Anatomie, (2010)
  • [4] Lang I.M., Shaker R., An overview of the upper esophageal sphincter, Curr Gastroenterol Rep, 2, pp. 185-190, (2000)
  • [5] Lang I.M., Shaker R., Anatomy and physiology of the upper esophageal sphincter, Am J Med, 103, (1997)
  • [6] Bonington A., Mahon M., Whitmore I., A histological and histochemical study of the cricopharyngeus muscle in man, J Anat, 156, pp. 27-37, (1988)
  • [7] Schunke M., Schulte E., Schumacher U., Prometheus Lernatlas der Anatomie - Hals und Innere Organe, (2005)
  • [8] Brownlow H., Whitmore I., Willan P.L., A quantitative study of the histochemical and morphometric characteristics of the human cricopharyngeus muscle, J Anat, 166, pp. 67-75, (1989)
  • [9] Mu L., Sanders I., Muscle fiber-type distribution pattern in the human cricopharyngeus muscle, Dysphagia, 17, pp. 87-96, (2002)
  • [10] Mu L., Su H., Wang J., Sanders I., Myosin heavy chain - based fiber types in the adult human cricopharyngeus muscle, Muscle Nerve, 35, pp. 637-648, (2007)