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Concept
Swallowing
Summary
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, or 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.
The portion of food, drink, or other material that will move through the neck in one swallow is called a bolus.
In colloquial English, the term "swallowing" is also used to describe the action of taking in a large mouthful of food without any biting, where the word gulping is more adequate.
Swallowing comes so easily to most people that the process rarely prompts much thought. However, from the viewpoints of physiology, of speech–language pathology, and of health care for people with difficulty in swallowing (dysphagia), it is an interesting topic with extensive scientific literature.
Eating and swallowing are complex neuromuscular activities consisting essentially of three phases, an 'oral, pharyngeal and esophageal phase. Each phase is controlled by a different neurological mechanism. The oral phase, which is entirely voluntary, is mainly controlled by the medial temporal lobes and limbic system of the cerebral cortex with contributions from the motor cortex and other cortical areas. The pharyngeal swallow is started by the oral phase and subsequently is coordinated by the swallowing center on the medulla oblongata and pons. The reflex is initiated by touch receptors in the pharynx as a bolus of food is pushed to the back of the mouth by the tongue, or by stimulation of the palate (palatal reflex).
Swallowing is a complex mechanism using both skeletal muscle (tongue) and smooth muscles of the pharynx and esophagus. The autonomic nervous system (ANS) coordinates this process in the pharyngeal and esophageal phases.
Official source
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