Abstract

Phenylephrine, an alpha-adrenergic agonist, increases pharyngeal cross-sectional area when applied topically to the nasal and pharyngeal mucosa, as determined by magnetic resonance imaging. In this study, we examined the possibility that the increase in area results from either a decrease in transmural collapsing pressure, as a result of a decrease in upstream (nasal) resistance, or an increase in upper airway muscle activity. In eight normal, awake men we measured inspiratory pharyngeal and nasal resistance and the electrical activity of the genloglossus (EMGGG) and alae nasi (EMGAN) before and after pharyngeal and nasal + pharyngeal instillation of 1 ml of either 0.25% phenylephrine or normal saline; phenylephrine and saline were tested on separate days. Under control eucapnic conditions, pharyngeal resistance was 0.43 ± 0.03 cm H2O/L/s, and nasal resistance was 2.43 ± 0.14 cm H2O/L/s. Pharyngeal resistance was 0.29 ± 0.03 cm H2O/L/s after nasal + pharyngeal instillation of phenylephrine and 0.98 ± 0.13...

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