Swallowing is the process by which food from the mouth enters the oesophagus via the pharynx. It occurs in a specific sequence of phases to prevent food from entering the airway.
Oral phase
- Mastication and moistening by saliva forms a soft and wet mass known as a bolus.
- The tongue forms a longitudinal trough (mediated by intrinsic muscles) and then is pushed up against the hard palate to force bolus posteriorly.
Pharyngeal phase
- Tensing and elevation of the soft palate closes (and protects) the nasopharynx
- The pharynx is pulled upwards to receive the bolus
- The oropharynx closed by palatoglossus and styloglossus to prevent food from re-entering mouth
- Contraction of vestibular and vocal folds blocks the airway
- The laryngeal inlet closes by elevation of the larynx via extrinsic muscles and contraction of the aryepiglotticus which flaps the epiglottis down like a lid.
Oesophageal phase
- Once bolus reaches the oesophagus, elastic coil resets the epiglottis and elevated larynx, opening laryngeal inlet to resume respiration.
- Oesophageal peristalsis sends bolus into the stomach
