This allows food to move closer to the laryngeal vestibule before triggering a gag.
2.
The food bolus will trigger a gag response first and be expelled before it hits the laryngeal vestibule.
3.
As infants get closer to one year old, the gag reflex moves posteriorly, closer to the laryngeal vestibule.
4.
In those over age 65, the initiation of laryngeal and pharyngeal events, including laryngeal vestibule closure, are delayed significantly longer than in adults younger than 45 years of age.
5.
Aspiration ( defined as entry of material into the airway [ trachea ] thus passing below the vocal folds ) and airway penetration ( defined as entry of material into the laryngeal vestibule but not below the level of the vocal folds ) ( Figure 2 ) are believed to be the most significant adverse clinical outcomes of misdirected bolus flow.
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