Changes in deglutition following tonsillectomy in neurologically impaired children

Conley, Stephen F.; Kodali, Satish; Beecher, Robert B.; Lacey, Terri; McCauliffe, Timothy

doi:10.1016/0165-5876(95)01325-3

Cited by 6 publications

(8 citation statements)

References 17 publications

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“…In some instances, solid food may get caught in palatine or lingual tonsils and can interfere with swallowing. Improvement has been noted following tonsillectomy in a small sample of children with neurological impairment [Conley et al, 1996]. Mandibular hypoplasia with retracted tongue posture can interfere with resting respiration that may become more problematic with oral feeding, as in Pierre Robin sequence.…”

Section: Upper Airway and Orofacial Examinationmentioning

confidence: 99%

Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

Arvedson

2008

Dev Disabil Res Revs

338

225

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Assessment of infants and children with dysphagia (swallowing problems) and feeding disorders involves significantly more considerations than a clinical observation of a feeding. In addition to the status of feeding in the child, considerations include health status, broad environment, parent-child interactions, and parental concerns. Interdisciplinary team approaches allow for coordinated global assessment and management decisions. Underlying etiologies or diagnoses must be delineated to every extent possible because treatment will vary according to history and current status in light of all factors that are often interrelated in complex ways. A holistic approach to evaluation is stressed with a primary goal for every child to receive adequate nutrition and hydration without health complications and with no stress to child or to caregiver. Instrumental swallow examinations that aid in defining physiological swallowing status are needed for some children. Successful oral feeding must be measured in quality of meal time experiences with best possible oral sensorimotor skills and safe swallowing while not jeopardizing a child's functional health status or the parent-child relationship.

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Section: Upper Airway and Orofacial Examinationmentioning

confidence: 99%

Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

Arvedson

2008

Dev Disabil Res Revs

338

225

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“…Studies have demonstrated the efficacy of tonsillectomy in children with neurological impairment. Conley et al 7 showed that tonsillectomy is safe and may improve dys-phagia based on oropharyngeal motility investigations in children with neurologically impaired deglutition. A 2009 study 6 showed improvements in a similar patient population following tonsillectomy using videofluoroscopic swallow studies and a telephone survey of dysphagia symp- Figure 2.…”

Section: Commentmentioning

confidence: 99%

“…2 Although the evidence is substantial to support the use of tonsillectomy in common indications, such as obstructive sleep apnea 3,4 and recurrent tonsillitis, 5 few data support its use in the treatment of dysphagia. Only a handful of investigations have addressed the role of tonsillectomy in treating dysphagia, and these have focused on children with neurological impairment 6,7 or provided only cursory discussion of dysphagia and tonsillectomy in otherwise healthy children. 8 The present study was designed to prospectively analyze the effect of tonsillectomy on subjective and objective measures of dysphagia.…”

mentioning

confidence: 99%

Efficacy of Tonsillectomy for Pediatric Patients With Dysphagia and Tonsillar Hypertrophy

Clayburgh¹

2011

Arch Otolaryngol Head Neck Surg

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Dysphagia related to tonsillar hypertrophy is a significant problem not only among children with dysphagia with a primary complaint but also among a large subset of patients referred for tonsillectomy for other indications. Following tonsillectomy, both groups experience significant improvement in swallowing-related quality of life, ability to tolerate a regular diet, and weight percentile for age. Tonsillectomy is an effective treatment for the management of dysphagia related to tonsillar hypertrophy in children.

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“…In contrast, large tonsils have been suggested as a possible means of protecting the airway in neurologically impaired children with dysphagia by controlling the size of the bolus 9. This hypothesis was refuted in a study of 15 children with neurologically impaired swallow who received tonsillectomy for upper airway obstruction or recurrent tonsillitis 13. Of the 15 children reported in the study, 10 children had preoperative laryngeal penetration or aspiration.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of tonsillectomy in neurologically impaired children

et al. 2009

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This study suggests tonsillectomy in NI children can be performed safely with appropriate monitoring and precautions with a 48-hour hospital postoperative stay recommended. Swallowing safety appears to improve both objectively and subjectively in most NI children following tonsillectomy. Both preoperative and postoperative VSS are recommended for any NI child undergoing tonsillectomy. Long-term follow-up identified improved quality of life measures for the majority of the NI children queried.

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Changes in deglutition following tonsillectomy in neurologically impaired children

Cited by 6 publications

References 17 publications

Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches

Efficacy of Tonsillectomy for Pediatric Patients With Dysphagia and Tonsillar Hypertrophy

Outcomes of tonsillectomy in neurologically impaired children

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