Swallowing problems in children with a tracheostomy tube.

Dysphagia Feeding difficulties Fibre-optic endoscopic evaluation of swallowing Modified evans blue dye test Swallowing problems Tracheostoma Tracheostomy tube Videofluoroscopic evaluation

Journal

International journal of pediatric otorhinolaryngology
ISSN: 1872-8464
Titre abrégé: Int J Pediatr Otorhinolaryngol
Pays: Ireland
ID NLM: 8003603

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 18 02 2019
revised: 02 05 2019
accepted: 04 05 2019
pubmed: 4 6 2019
medline: 23 11 2019
entrez: 3 6 2019
Statut: ppublish

Résumé

Swallowing problems in children with a tracheostomy tube seem to be a common problem, although exact prevalence is not known. The aim of this study is to identify the prevalence and type of swallowing problems in children with a tracheostomy tube. We retrospectively included 44 children having a tracheostomy tube at Erasmus MC-Sophia Children's hospital. Assessment by a specialized speech and language therapist, the Modified Evans Blue Dye test, Video Fluoroscopic Swallowing Study and a Fiber-optic Endoscopic Evaluation of Swallowing were reviewed with regard to the different phases of swallowing, in particular signs of aspiration. In our cohort, 31 (70%) children with a tracheostomy tube presented with problems in the oral and/or the pharyngeal phase of swallowing. Overall 19 (43%) children aspirated. The majority of children with a tracheostomy tube have swallowing problems in the different swallowing phases with a high risk for aspiration.

Identifiants

pubmed: 31154120
pii: S0165-5876(19)30218-6
doi: 10.1016/j.ijporl.2019.05.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

30-33

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Marloes Streppel (M)

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands.

Laura L Veder (LL)

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands. Electronic address: l.veder@erasmusmc.nl.

Bas Pullens (B)

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands.

Koen F M Joosten (KFM)

Department of Pediatrics, Pediatric Intensive Care Unit, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands.

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Classifications MeSH