Transient swallowing dysfunction in typically developing children following supraglottoplasty for laryngomalacia

Chun, Robert H.; Wittkopf, Maria; Sulman, Cecille G.; Arvedson, Joan C.

doi:10.1016/j.ijporl.2014.08.017

Cited by 25 publications

(11 citation statements)

References 9 publications

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“…In most cases, stridor and other symptoms of laryngomalacia will resolve by 2 years of age, 5,6 and only 10% of patients require surgical intervention. 4,7 Laryngomalacia is the most common cause of stridor in children, affecting up to 75% of stridulous infants in the United States. 2,5,8 Laryngomalacia is also associated with a number of symptoms, particularly pertaining to feeding difficulties.…”

mentioning

confidence: 99%

Evaluation of Aspiration in Infants With Laryngomalacia and Recurrent Respiratory and Feeding Difficulties

Irace

Dombrowski

Kawai

et al. 2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Laryngomalacia is the most common laryngeal anomaly and is commonly associated with stridor in children, but the recurrent respiratory and/or feeding difficulties associated with this condition may pose a threat to the well-being of the affected child. OBJECTIVE To describe the prevalence of aspiration in pediatric patients with laryngomalacia who present with recurrent respiratory issues and/or feeding difficulty. DESIGN, SETTING, AND PARTICIPANTS This retrospective review of medical records involved 142 pediatric patients. These patients received a laryngomalacia diagnosis, presented with recurrent respiratory and/or feeding difficulties, and underwent a modified barium swallow (MBS) study at a tertiary referral children's hospital from January 1, 2015, to December 31, 2015. Each patient was assessed for aspiration and swallowing discoordination. Data collection and analysis were performed from December 1, 2016, to September 30, 2017. MAIN OUTCOMES AND MEASURES Demographic data, presenting symptoms, medical comorbidities, and feeding and dysphagia details were collected and analyzed. Speech-language pathologists reviewed all MBS reports to identify the presence and type of aspiration (ie, silent vs nonsilent) with different textures and consistencies of food and liquid. RESULTS A total of 395 patients were diagnosed with laryngomalacia in 2015. One hundred forty-two of these patients (35.9%) presented with recurrent respiratory issues and/or feeding difficulties and were referred for MBS study for further evaluation. Ninety-two (64.8%) were male, with a median (interquartile range) age at the time of MBS study of 7.9 (3.2-20.5) months. Among these patients, 128 (90.1%) had swallowing dysfunction documented during the MBS study. Aspiration was identified in 60 patients (42.3%), and silent aspiration was documented in 59 (98.3%) of these 60 patients. Epilepsy or seizures (risk difference [RD], 11%; 95% CI, 5%-17%), laryngeal cleft (RD, 8%; 95% CI, 3%-13%), and premature birth (RD, 15%; 95% CI, 5%-25%) were statistically significantly associated with abnormal MBS findings. CONCLUSIONS AND RELEVANCE Swallowing dysfunction and aspiration were commonly found in pediatric patients with laryngomalacia and recurrent feeding and/or respiratory issues; these children should undergo an MBS study for dysphagia and silent aspiration.

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confidence: 99%

Evaluation of Aspiration in Infants With Laryngomalacia and Recurrent Respiratory and Feeding Difficulties

Irace

Dombrowski

Kawai

et al. 2019

JAMA Otolaryngol Head Neck Surg

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“…Supraglottoplasty is relatively safe with minimal associated risks [9]. Swallowing dysfunction has been reported but is transient, usually resolving within one month postoperatively [10]. We have experience using both cold steel and CO2 LASER techniques with similar results, with the chosen technique, primarily surgeon preference.…”

Section: Discussionmentioning

confidence: 98%

Endoscopic surgical management of inspiratory stridor in newborns and infants

Cheng

Smith

2015

American Journal of Otolaryngology

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“…Additionally, CT scan is the modality of choice in detecting asymptomatic aspiration for other indications. Chest CT scan can be effectively useful for detecting early radiographic changes of aspiration, e.g., mild bronchiectasis, pleural thickening and air-trapping, as well as consolidation, and atelectasis [26][27][28][29]…”

Section: Discussionmentioning

confidence: 99%

Investigation of high-resolution computed tomographic (HRCT) outcomes associated with chronic pulmonary microaspiration (CPM) in Tehran and Zahedan, Iran

Ghahderijani¹,

Hosseinabadi²,

Kahkouee³

et al. 2020

Afr H. Sci.

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Background: In patients with chronic pulmonary microaspiration (CPM) the recognition of high-resolution computed tomographic (HRCT) findings and their pattern is important. Objective: To investigate the HRCT detections in patients with CPM. Materials and Methods: This descriptive study enrolled 100 consecutive patients with CPM underwent HRCT of the lungs between 2017 and 2018 in Tehran and Zahedan Hospitals and private centers. The required variables were recorded for each patient with a questionnaire. Subsequently, HRCT was performed and abnormalities were then reported by two radiologists. Results: Most of patients exhibited bronchial thickening in 33.6% of cases, followed by ground-glass opacity (12.4%), em- physema (11.1%), and bronchiectasis (8.5%). In addition, the most common HRCT findings were found in left lower lobe (LLL) (37.1%), followed by right lower lobe (RLL) (35.9 %), right upper lobe (RUL ) (6,2%), and left upper lobe (LUL) (6%). Conclusion: Our data showed the most common findings in HRCT were bronchial thickening ground-glass opacity, em- physema, and bronchiectasis, where these findings was dominantly found in LLL, RLL, RUL, and LUL, indicating its high tendency to dependent areas. Keywords: Imaging; high-resolution computed tomographic; chronic lung microaspiration.

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Transient swallowing dysfunction in typically developing children following supraglottoplasty for laryngomalacia

Cited by 25 publications

References 9 publications

Evaluation of Aspiration in Infants With Laryngomalacia and Recurrent Respiratory and Feeding Difficulties

Evaluation of Aspiration in Infants With Laryngomalacia and Recurrent Respiratory and Feeding Difficulties

Endoscopic surgical management of inspiratory stridor in newborns and infants

Investigation of high-resolution computed tomographic (HRCT) outcomes associated with chronic pulmonary microaspiration (CPM) in Tehran and Zahedan, Iran

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