Evaluation of Swallowing Dysfunction in Children with Recurrent Respiratory Symptoms Tekrarlayan Solunum Sistemi Semptomları Olan Çocuklarda Yutma Disfonksiyonun Değerlendirilmesi
Guncel Pediatri, cilt.20, sa.2, ss.229-236, 2022 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.4274/jcp.2022.87262
- Dergi Adı: Guncel Pediatri
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database
- Sayfa Sayıları: ss.229-236
- Anahtar Kelimeler: Swallowing dysfunction, pediatric, dysphagia, respiratory symptoms
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: This study aims to determine the role of swallowing disorders in the etiology of recurrent lower respiratory tract infections (LTRIs) and persistent respiratory symptoms in children. Materials and Methods: The records of 32 patients aged 0-18 years who applied to the outpatient clinic of the pediatric pulmonology department between November 2016-June 2019 with LTRIs or persistent respiratory symptoms and diagnosed as swallowing dysfunction were evaluated retrospectively. The swallowing function of the patients were imaged and recorded by videofluoroscopic swallowing study (VFSS), and parents were surveyed for with pediatric eating assessment tool-10. Results: Median age of the patients was 14 (7.25-32.25) months, 81.3% were male. It was noted that 50% of the patient population had metabolic and/or neurologic disease, and half of the remaining 16 patients had risk factors for swallowing dysfunction, while the other half did not. Aspiration of thin liquids was found in 90.6% of patients, of which 68.8% were silent, 56.3% had oral phase dysfunction and 40.6% had a delayed swallowing reflex. Oral phase dysfunction and delayed swallowing reflex for thin and thick liquids were more frequent in 16 (50%) patients with metabolic and/or neurological disease on VFSS compared to those without metabolic and/or neurological disease (p<0.05). There was reduction in the annual number of LTRIs reported following implementation of swallowing therapy (p=0.01). Conclusion: Swallowing dysfunction is an important diagnosis to consider when approaching patients with history of recurrent respiratory symptoms, regardless of their comorbidities and risk factors. Early diagnosis and treatment is crucial to avoid subsequent complications associated with it.