Stages of Deglutition
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3/16/2026
Introduction to Deglutition
Deglutition is the process of swallowing food from mouth to stomach.
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Phases of Deglutition
- Oral phase: Voluntary control, tongue pushes bolus to pharynx.
- Pharyngeal phase: Involuntary, triggers swallowing reflex.
- Esophageal phase: Peristalsis moves bolus to stomach.
- Upper and lower esophageal sphincters regulate passage.
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Neural Control of Swallowing
- Swallowing center located in brainstem (medulla).
- Cranial nerves V, VII, IX, X, XII control muscles.
- Sensory feedback ensures safe bolus passage.
- Reflex prevents aspiration by closing airways.
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Clinical Correlations
- Dysphagia: Difficulty swallowing due to neurological or structural issues.
- Aspiration: Food/liquid enters airways, causing pneumonia.
- Common in stroke, Parkinsonโs, and esophageal disorders.
- Diagnosis via videofluoroscopy or endoscopy.
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Summary and Conclusion
- Deglutition involves oral, pharyngeal, and esophageal phases.
- Neural control ensures coordination and safety.
- Disorders like dysphagia require prompt diagnosis.
- Understanding swallowing aids in clinical practice.
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