{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T01:36:33Z","timestamp":1775784993068,"version":"3.50.1"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Pharynxstabilit\u00e4t wird sowohl durch anatomische als auch nicht-anatomische Faktoren gew\u00e4hrleistet. Neben der anatomischen Weite sind auch funktionelle Faktoren f\u00fcr den Obstruktionsgrad des oberen Atemwegs bedeutsam. Die Funktionsf\u00e4higkeit der pharyngealen Muskeln ist von einer ungest\u00f6rten Sensomotorik abh\u00e4ngig. Bei Patienten mit Rhonchopathie bzw. obstruktiver Schlafapnoe (OSA) ver\u00e4ndern sich Sensomotorik und Muskelmorphologie in zunehmendem Ausma\u00df. Es ist zu mutma\u00dfen, dass langj\u00e4hriges Schnarchen zu einer vibrationsbedingten sensomotorischen Neuropathie mit Verlust der Funktion und Struktur der pharyngealen Muskulatur f\u00fchrt. Pharyngeale Mechanorezeptoren verlieren ihre Empfindlichkeit und die Informationen k\u00f6nnen aufgrund eines neuronalen Schadens nicht mehr ad\u00e4quat motorisch umgesetzt werden. Es stellt sich die Frage, nach welchem Zeitraum es zu einem irreversiblen vibrationsbedingten Rezeptorschaden durch Schnarchen kommt.\n    <\/jats:p>","DOI":"10.1055\/a-2438-0479","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:27:24Z","timestamp":1733358444000},"page":"297-301","source":"Crossref","is-referenced-by-count":2,"title":["Vom Vibrationstrauma zur pharyngealen Muskelinstabilit\u00e4t \u2013 Ein sich selbst unterhaltender pathophysiologischer Prozess (Circulus vitiosus) bei obstruktiver Schlafapnoe (OSA)"],"prefix":"10.1055","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4680-3282","authenticated-orcid":false,"given":"Ulrich","family":"Koehler","sequence":"additional","affiliation":[{"name":"Pneumologie, Philipps-Universit\u00e4t Marburg, Marburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olaf","family":"Hildebrandt","sequence":"additional","affiliation":[{"name":"Pneumologie, 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