ABSTRACT

The structure and the neural control of the upper airway have evolved to serve

four important physiologic functions: (i) respiration, (ii) deglutition, (iii) speech,

and (iv) local immunity. The upper airway is collapsible to accommodate these

functions. During wakefulness, upper airway collapse can be prevented by an

increase in pharyngeal neuromuscular tone (1). However, this mechanism is

decreased during sleep, predisposing the upper airway to obstruction (2).