caa a22 4500 46905039X CHVBK 20180323132829.0 cr unu---uuuuu 170328e19920901xx s 000 0 eng 10.1007/BF02493448 doi (NATIONALLICENCE)springer-10.1007/BF02493448 Novel primitive swallowing reflex: Facial receptor distribution and stimulus characteristics [Elektronische Daten] [Susan Orenstein, Ira Bergman, Roy Proujansky, Samuel Kocoshis, Vicki Giarrusso] We recently described a primitive swallowing reflex: swallowing as a response to a puff of air administered to the face. To identify the facial afferent distribution of this response, the necessary characteristics of the stimulus, and the role of the infant's antecedent behavior, we studied 13 infants who had demonstrated this reflex. We evaluated nine infants by clinically observing for swallowing in response to a total of 135 stimulus applications. All nine had consistently positive responses to the maxillary-ophthalmic area and to the maxillary-mandibular area. Two had consistent responses to stimulation of the mandibular area alone; these were positive. Six had consistent responses to stimulation of the ophthalmic area alone; these were negative. Four infants, evaluated by manometric documentation of swallowing (a total of 137 stimulus applications) demonstrated 47 of 79 (59%) positive responses to stimuli applied to facial areas including any parts of the lips, but only 7 of 28 (25%) positive responses to stimuli applied to facial areas excluding all parts of the lips (chi-squareP=0.002). Light touch to any facial area, including the cornea, failed to produce a swallow in any infant. Crying and sleep were incompatible with the reflex. This newly identified primitive swallow reflex seems to require diffuse stimulation, possibly thermal, to the perioral area of the face in an awake and noncrying infant. Springer-Verlag New York Inc, 1992 Reflex, primitive nationallicence Swallow nationallicence Trigeminal nationallicence Deglutition nationallicence Deglutition disorders nationallicence Orenstein Susan Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut Bergman Ira Division of Pediatric Neurology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA aut Proujansky Roy Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut Kocoshis Samuel Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut Giarrusso Vicki Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut Dysphagia Springer-Verlag 7/3(1992-09-01), 150-154 0179-051X 7:3<150 1992 7 455 https://doi.org/10.1007/BF02493448 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02493448 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Orenstein Susan Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Bergman Ira Division of Pediatric Neurology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA aut NATIONALLICENCE 700 1- Proujansky Roy Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Kocoshis Samuel Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Giarrusso Vicki Division of Pediatric Gastroenterology, Children's Hospital of Pittsburgh, 3705 Fifth Avenue at DeSoto Street, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 7/3(1992-09-01), 150-154 0179-051X 7:3<150 1992 7 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer