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Published on: December 1, 2023
Growth and Development of Human Laryngeal Functions
Kiminori Sato1, Shun-Ichi Chitose1, Kiminobu Sato1
1Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.
Human laryngeal functions develop hierarchically, starting with respiration and immunity, then airway protection, and finally phonation. This progression parallels the structural maturation of the larynx from infancy to adulthood.
Area of Science:
- Anatomy and Physiology
- Developmental Biology
- Otolaryngology
Background:
- Newborn larynges differ significantly from adult structures, resembling those of non-human primates.
- Key laryngeal functions include respiration, local immunity, airway protection (swallowing), and phonation.
- The development of these functions is closely linked to the larynx's morphological changes.
Purpose of the Study:
- To summarize the developmental trajectory of human laryngeal functions.
- To investigate the interrelationships between laryngeal morphology and function during development.
- To understand the sequence in which laryngeal functions mature.
Main Methods:
- Examination of human larynges from autopsy cases.
- Utilized whole-organ serial section studies.
- Integrated findings from previous research on laryngeal development.
Main Results:
- Newborn larynges are optimized for respiration, lacking adult vocal fold structures and vocal ligament.
- Laryngeal descent and vocal tract formation occur during the first nine years, enhancing swallowing and reducing aspiration risk.
- By adolescence, the larynx matures for phonation, with developed vocal folds and glottis morphology.
Conclusions:
- Laryngeal function development follows a hierarchical sequence: respiration and immunity first, then airway protection, and lastly phonation.
- Humans acquire these functions progressively as the larynx matures structurally.
- The study highlights the parallel maturation of laryngeal structure and function throughout human development.
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