How it works
One swallow drawn three times: the bolus held in the mouth, passing through the throat, and carried down the esophagus. Find each part on the drawing; after each answer one line says what the part does in that phase.
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Mouth and throat
In the oral preparatory phase food is chewed and gathered into a bolus. In the oral phase the tongue presses the bolus back against the hard palate. In the pharyngeal phase the soft palate rises, the hyoid bone and larynx move up and forward, the vocal folds close and the epiglottis tips down over the airway.
Down the esophagus
The pharyngeal constrictors squeeze behind the bolus and the upper esophageal sphincter opens. In the esophageal phase a peristaltic wave carries the bolus down, and the lower esophageal sphincter relaxes to let it into the stomach.
- The oral phase is voluntary; the pharyngeal and esophageal phases run as a reflex.
- UES and LES are accepted for the two sphincters.
Questions and answers
What are the phases of swallowing?
Oral, pharyngeal and esophageal. The oral phase starts with an oral preparatory phase, when food is chewed and formed into a bolus; then the tongue sends the bolus back toward the throat.
What does the epiglottis do during swallowing?
It tips down over the entrance of the larynx, so the bolus is steered past the airway and into the esophagus. The vocal folds close as well.
What are the valleculae?
Two small pockets between the base of the tongue and the epiglottis, one on each side of a fold in the middle. In a drawing cut down the middle they show as one pocket.
Which phases of swallowing are voluntary?
The oral phase is under voluntary control. The pharyngeal and esophageal phases are a reflex: once the bolus reaches the throat, the rest of the swallow runs by itself.
What is the upper esophageal sphincter?
A ring of muscle at the top of the esophagus, continuous with the lowest pharyngeal constrictor. It stays closed between swallows and opens to let the bolus through.