Obligate nasal breathing

Obligate nasal breathing is a term used to describe either a physiological or psychological predisposition or obligation to breathe through the nose as opposed to the mouth. The term may be misleading, as it implies that the animal has no choice but to breathe through its nose; however, it is commonly used to describe cases where effective breathing through the mouth is possible. In fact, the term has been defined by some as the ability to breathe through the nose while swallowing.^[1] While this ability is a common trait of obligate nasal breathers, clearly this definition does not require that nasal breathing in any way be obligatory to the animal. Even in obligate nasal breathers such as horses, rabbits, and rodents, there is a potentially patent path for air to travel from the mouth to the lungs which can be used for endotracheal intubation. It has been suggested that obligate nasal breathing is an adaptation especially useful in prey species, as it allows an animal to feed while preserving their ability to detect predators by scent.^[2]

Humans

Human infants are commonly described as obligate nasal breathers as they prefer breathing through their nose rather than mouth.^[3] Most infants, however, are able to breathe through their mouth if their nose is blocked.^[3] There are however certain infants with conditions such as choanal atresia in which deaths have resulted from nasal obstruction.^[3] In these cases there are cyclical periods of cyanosis. The infant initially attempts to breathe through the nose, and is unable to; hypercapnia occurs, and many babies instinctively begin to cry. While crying, oral ventilation occurs and cyanosis subsides. There is variation in the length of time until a baby begins oral breathing, and some will never cease attempts at nasal breathing. It has also been suggested that infants may not be able to sustain oral breathing for significant lengths of time, because of the weakness of the muscles required to seal the nasal airway and open the oral airway.^[3]

Other animals

Horses are also considered obligate nasal breathers. The term is more accurate in horses, because their normal anatomy prevents them from breathing orally. The epiglottis rests above the soft palate while the animal is not swallowing, forming an airtight seal. Oral breathing can only occur with significant anatomical abnormalities or pathological conditions. For example, denervation of the pharyngeal branch of the vagus nerve results in dorsal displacement of the soft palate (DDSP),^[4] and it has been suggested that this leads to a clinical syndrome which may include oral breathing.^[5] However, significant respiratory dysfunction including airway obstruction is observed with DDSP, and the animal cannot function normally in this state.

Rabbits and rodents are also obligate nasal breathers. Like horses, the normal anatomical position of the epiglottis causes it to be engaged over the caudal rim of the soft palate, sealing the oral pharynx from the lower airways.^[6] Rabbits with advanced upper airway disease will attempt to breathe through their mouths; this is agonal respiration.

Many other mammals, such as cats, dogs, and adult humans, have the ability to breathe indefinitely through either the oral or nasal cavity.^[7]

References

1. ^ SIDS and Otitis media – an anatomical perspective, Presented by: Brian Palmer, D.D.S., December 2001.
2. ^ Negus, VE (1927). "The Function of the Epiglottis.". Journal of anatomy 62 (Pt 1): 1–8. PMC 1250045. PMID 17104162. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1250045. 
3. ^ ^{a b c d} Bergeson, P. S.; Shaw, J. C. (2001). "Are Infants Really Obligatory Nasal Breathers?". Clinical Pediatrics 40 (10): 567–9. doi:10.1177/000992280104001006. PMID 11681824. 
4. ^ Holcombe, SJ; Derksen, FJ; Stick, JA; Robinson, NE (1998). "Effect of bilateral blockade of the pharyngeal branch of the vagus nerve on soft palate function in horses.". American journal of veterinary research 59 (4): 504–8. PMID 9563638. 
5. ^ Susan J. Holcombe (1998). "Neuromuscular Regulation of the Larynx and Nasopharynx in the Horse". Proceedings of the Annual Convention of the AAEP 44: 26. http://www.ivis.org/proceedings/aaep/1998/Holcombe.pdf. 
6. ^ Stephen J. Hernandez-Divers (2007). "The Rabbit Respiratory System: Anatomy, Physiology, and Pathology". Proceedings of the Association of Exotic Mammal Veterinarians: 61–68. http://www.aemv.org/Documents/AAV07smallbookfinal.pdf#page=69. 
7. ^ Radostits, Otto M.; Mayhew, I. G. Joe; Houston, Doreen M., eds (2000). Veterinary clinical examination and diagnosis. Philadelphia: W. B. Saunders. ISBN 0-7020-2476-7. ^{[page needed]}

External links

• Laitman, JT; Crelin, ES; Conlogue, GJ (1977). "The function of the epiglottis in monkey and man.". The Yale journal of biology and medicine 50 (1): 43–8. PMC 2595319. PMID 403687. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2595319.