RT Journal Article T1 Central Autonomic Mechanisms Involved in the Control of Laryngeal Activity and Vocalization A1 González-García, Marta A1 Carrillo-Franco, Laura A1 Morales-Luque, Carmen A1 Dawid-Milner, Marc Stefan A1 López-González, Manuel Víctor K1 Vocalización - Regulación AB In humans, speech is a complex process that requires the coordinated involvement of various components of the phonatory system, which are monitored by the central nervous system. The larynx in particular plays a crucial role, as it enables the vocal folds to meet and converts the exhaled air from our lungs into audible sounds. Voice production requires precise and sustained exhalation, which generates an air pressure/flow that creates the pressure in the glottis required for voice production. Voluntary vocal production begins in the laryngeal motor cortex (LMC), a structure found in all mammals, although the specific location in the cortex varies in humans. The LMC interfaces with various structures of the central autonomic network associated with cardiorespiratory regulation to allow the perfect coordination between breathing and vocalization. The main subcortical structure involved in this relationship is the mesencephalic periaqueductal grey matter (PAG). The PAG is the perfect link to the autonomic pontomedullary structures such as the parabrachial complex (PBc), the Kölliker–Fuse nucleus (KF), the nucleus tractus solitarius (NTS), and the nucleus retroambiguus (nRA), which modulate cardiovascular autonomic function activity in the vasomotor centers and respiratory activity at the level of the generators of the laryngeal-respiratory motor patterns that are essential for vocalization. These cores of autonomic structures are not only involved in the generation and modulation of cardiorespiratory responses to various stressors but also help to shape the cardiorespiratory motor patterns that are important for vocal production. Clinical studies show increased activity in the central circuits responsible for vocalization in certain speech disorders, such as spasmodic dysphonia because of laryngeal dystonia. PB MDPI YR 2024 FD 2024-02 LK https://hdl.handle.net/10630/36238 UL https://hdl.handle.net/10630/36238 LA eng NO González-García, M.; Carrillo-Franco, L.; Morales-Luque, C.; Dawid-Milner, M.S.; López-González, M.V. Central Autonomic Mechanisms Involved in the Control of Laryngeal Activity and Vocalization. Biology 2024, 13, 118. https://doi.org/10.3390/biology13020118 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 19 ene 2026