Incidence and description of dysphagia in infants and toddlers with tracheostomies: A retrospective review

Norman, Vivienne; Louw, Brenda; Kritzinger, Alta M.

doi:10.1016/j.ijporl.2007.03.018

Cited by 30 publications

(12 citation statements)

References 26 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…None of these studies reported on the use of the blue dye test or the modified Evans blue dye test in these children. Presently, data for determining the sensitivity and specificity of the blue dye test or the modified Evans blue dye test to detect aspiration in children is unavailable 128–132. The use of these blue dyes in enteral nutrition formulations has significantly decreased or been discontinued in many institutions due to reports of systemic absorption of the dye with the subsequent development of adverse outcomes 133…”

Section: Other Diagnostic Tests Of Aspirationmentioning

confidence: 99%

Dysphagia and aspiration in children

Tutor

Gosa

2011

Pediatric Pulmonology

154

117

View full text Add to dashboard Cite

Aspiration is a significant cause of respiratory morbidity and sometimes mortality in children. It occurs when airway protective reflexes fail, especially, when dysphagia is also present. Clinical symptoms and physical findings of aspiration can be nonspecific. Advances in technology can lead to early diagnosis of dysphagia and aspiration, and, new therapeutic advances can significantly improve outcome and prognosis. This report first reviews the anatomy and physiology involved in the normal process of swallowing. Next, the protective reflexes that help to prevent aspiration are discussed followed by the pathophysiologic events that occur after an aspiration event. Various disease processes that can result in dysphagia and aspiration in children are discussed. Finally, the various methods for diagnosis and treatment of dysphagia in children are reviewed.

show abstract

Section: Other Diagnostic Tests Of Aspirationmentioning

confidence: 99%

Dysphagia and aspiration in children

Tutor

Gosa

2011

Pediatric Pulmonology

154

117

View full text Add to dashboard Cite

show abstract

“…Incidence of dysphagia has been reported in 80 to 91% of infants and toddlers with tracheostomies, with one study attributing only half of swallowing disorders to underlying neurological or anatomical issues. 9,10 The initiation of swallowing may be impaired as laryngeal and pharyngeal sensations change with the tracheostomy 'tethering' the larynx. 7 If swallowing is delayed, there is an increased chance of airway aspiration because the swallowed material may pool inferior to the hypopharynx, 11 and infants may not be symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Secretion Management in Tracheostomized Infants using Unconventional Approaches and Outcomes: A Case Series

Shah

Jadcherla

2019

Am J Perinatol

View full text Add to dashboard Cite

Objective To increase the understanding of secretion management in infants with tracheostomies. In this case series, we describe objective evidence for an unconventional approach in infants refractory to conventional management techniques. Study Design Case study of two NICU infants utilizing high-resolution manometry was undertaken using personalized oral stimulation protocols with fruity foods. Results Oral stimulation improved infant swallowing to clear secretions and reduce the need for suctioning. Conclusion Innovative oral stimulation protocols are needed to improve swallowing in high-risk infants.

show abstract

“…We consider that hypopharyngeal lesions, continuous formation of bullae and erosions, scarring and long-term cannulation, actually from the child's birth, have led to deglutition disorder. According to both literature data and our own experience, tracheotomies performed at neonatal age with subsequent decannulation being impossible can with time lead to swallowing disorders [15][16][17]. Glossop et al describe a child with epidermolysis bullosa lethalis that developed severe edema of the larynx and epiglottis at the age of 29 months.…”

Section: Discussionmentioning

confidence: 99%