Long‐term follow‐up of oropharyngeal dysphagia in children without apparent risk factors

Lefton‐Greif, Maureen A.; Carroll, John L.; Loughlin, Gerald M.

doi:10.1002/ppul.20488

Cited by 99 publications

(95 citation statements)

References 18 publications

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“…aspiration-induced lung disease, malnutrition, neurodevelopmental problems, sensory-based feeding disorder, and/or disruption of normal child-family bonding [1]. The feeding and swallowing literature from decades ago to the present consistently recognizes a correlation between swallowing and physical characteristics of food.…”

mentioning

confidence: 99%

Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment

Stuart

Motz

2009

Dysphagia

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The purpose of this study was to investigate comparability of viscosity of liquids used in assessment and treatment of infants with dysphagia. Goals of this study were as follows: (1) Establish baseline viscosity values for (a) the commercial barium assessment liquids of varying thicknesses and (b) clinically typical infant formula thickened with varied thickeners. (2) Compare the baseline viscosities of the various liquids for correlation of values. We attempted to mimic real-world situations and recreate clinical assessment and treatment conditions. We also identified and made every effort to control typical clinical variables, e.g., mixer and mixing procedure, brand of product, and temperature of liquid. The method of measurement was based on rheologic principles and used a Brookfield Engineering LVDV II + Pro Cone/Plate Viscometer at spindle and speed combinations to maximize shear rates consistent with swallowing. Statistically, there was no comparability between barium and formula mixtures, regardless of thickener utilized. The implications of these findings and the need to develop a standardized means of thickening formula to a viscosity comparable to the assessment materials are discussed.

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mentioning

confidence: 99%

Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment

Stuart

Motz

2009

Dysphagia

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“…In a study of children without known dysphagia risk factors who demonstrated unexplained respiratory problems [14], almost 60% were found to aspirate liquids and, of these, 100% of aspiration events were silent (i.e. no cough).…”

Section: Dysphagia and Aspiration In Pediatric Populationsmentioning

confidence: 99%

“…Several studies indicate that, although the prognosis for resolution of pediatric dysphagia is often very good, it might take several years [60,61]. …”

Section: Management Of Pediatric Swallowing Disordersmentioning

confidence: 99%

Pediatric Dysphagia: Physiology, Assessment, and Management

2015

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Infancy and childhood represent a time of unparalleled physical growth and cognitive development. In order for infants and children to reach their linear and neurological growth potential, they must be able to reliably and safely consume sufficient energy and nutrients. Swallowing difficulties (dysphagia) in pediatric populations can have a detrimental effect on dietary intake and, thus, growth and development. As a result, it is imperative to accurately identify and appropriately manage dysphagia in pediatric populations. This article provides an overview of dysphagia in children, as well as common causes of childhood swallowing difficulties, populations at risk for pediatric dysphagia, techniques used to assess swallowing in pediatric patients, and the current treatment options available for infants and children with dysphagia.

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“…Children with respiratory problems may present swallowing alterations, which can be observed in videofluoroscopic evaluation (22,(24)(25)(26) . According to some authors, swallowing disorders are frequently observed in infants with history of bronchitis and/or recurrent pneumonia.…”

Section: Introductionmentioning

confidence: 99%

“…In this study, the delay always preceded penetration or laryngeal aspiration, and all aspirations were silent. Hence, oropharyngeal disphagia must be considered in the differential diagnosis of this population (26) . In infants with severe neurological disorders, alterations in oral and pharyngeal phases of swallowing, which result in aspiration, are the main cause of respiratory infections (11) .…”

Section: Introductionmentioning

confidence: 99%

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

Silva-Munhoz

Bühler

2011

J. Soc. Bras. Fonoaudiol.

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OBJETIVO: Descrever os achados fluoroscópicos da deglutição de recém-nascidos pré-termo de zero a seis meses de idade, assim como as doenças e os sinais e sintomas clínicos relacionados à alteração na deglutição, e compará-los com os respectivos dados obtidos de recém-nascidos de termo. MÉTODOS: Foram analisados, retrospectivamente, os dados das avaliações fluoroscópicas realizadas no período de um ano em lactentes de zero a seis meses de idade e aos respectivos prontuários. Participaram 40 sujeitos, divididos em dois grupos: Grupo Pré-Termo, constituído de 23 recém-nascidos pré-termo; e Grupo de Termo, constituído por 17 recém-nascidos de termo. RESULTADOS: Os principais achados fluoroscópicos da deglutição observados em ambos os grupos foram refluxo para a nasofaringe e refluxo gastresofágico. Não houve diferença entre os grupos para a presença de alteração na deglutição . O Grupo Pré-Termo apresentou mais problemas cardíacos do que o Grupo de Termo. Não houve diferença entre os grupos para problemas neurológicos e respiratórios. Em relação aos sinais e sintomas clínicos sugestivos de alteração na deglutição, o Grupo Pré-Termo apresentou mais dessaturação de oxigênio e o Grupo de Termo mais vômitos. CONCLUSÃO: Os principais achados fluoroscópicos da deglutição encontrados em recém-nascidos pré-termo de zero a seis meses de idade foram refluxo para a nasofaringe e refluxo gastresofágico. Novos estudos de seguimento desta população devem ser realizados para confirmar a hipótese de que as alterações na deglutição observadas ocorreram devido à imaturidade na função de deglutição.

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Long‐term follow‐up of oropharyngeal dysphagia in children without apparent risk factors

Cited by 99 publications

References 18 publications

Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment

Viscosity in Infant Dysphagia Management: Comparison of Viscosity of Thickened Liquids Used in Assessment and Thickened Liquids Used in Treatment

Pediatric Dysphagia: Physiology, Assessment, and Management

Achados fluoroscópicos da deglutição: comparação entre recém-nascidos pré-termo e recém-nascidos de termo

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