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Pressure-Flow Analysis for the Assessment of Pediatric Oropharyngeal Dysphagia.
Ferris, Lara; Rommel, Nathalie; Doeltgen, Sebastian; Scholten, Ingrid; Kritas, Stamatiki; Abu-Assi, Rammy; McCall, Lisa; Seiboth, Grace; Lowe, Katie; Moore, David; Faulks, Jenny; Omari, Taher.
Afiliação
  • Ferris L; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia; School of Medicine, Flinders University, Adelaide, Australia. Electronic address: lara.ferris@sa.gov.au.
  • Rommel N; Department of Neurosciences, ExpORL, Deglutology, KU Leuven, Leuven, Belgium.
  • Doeltgen S; School of Health Sciences, Speech Pathology & Audiology, Flinders University, Adelaide, Australia.
  • Scholten I; School of Health Sciences, Speech Pathology & Audiology, Flinders University, Adelaide, Australia.
  • Kritas S; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • Abu-Assi R; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • McCall L; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • Seiboth G; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • Lowe K; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • Moore D; Department of Gastroenterology, Women's and Children's Hospital, Adelaide, Australia.
  • Faulks J; Department of Speech Pathology, Women's and Children's Hospital, Adelaide, Australia.
  • Omari T; School of Medicine, Flinders University, Adelaide, Australia.
J Pediatr ; 177: 279-285.e1, 2016 10.
Article em En | MEDLINE | ID: mdl-27492870
OBJECTIVES: To determine which objective pressure-impedance measures of pharyngeal swallowing function correlated with clinically assessed severity of oropharyngeal dysphagia (OPD) symptoms. STUDY DESIGN: Forty-five children with OPD and 34 control children without OPD were recruited and up to 5 liquid bolus swallows were recorded with a solid-state high-resolution manometry with impedance catheter. Individual measures of pharyngeal and upper esophageal sphincter (UES) function and a swallow risk index composite score were derived for each swallow, and averaged data for patients with OPD were compared with those of control children without OPD. Clinical severity of OPD symptoms and oral feeding competency was based on the validated Dysphagia Disorders Survey and Functional Oral Intake Scale. RESULTS: Those objective measures that were markers of UES relaxation, UES opening, and pharyngeal flow resistance differentiated patients with and without OPD symptoms. Patients demonstrating abnormally high pharyngeal intrabolus pressures and high UES resistance, markers of outflow obstruction, were most likely to have signs and symptoms of overt Dysphagia Disorders Survey (OR 9.24, P = .05, and 9.7, P = .016, respectively). CONCLUSION: Pharyngeal motor patterns can be recorded in children by the use of HRIM and pharyngeal function can be defined objectively with the use of pressure-impedance measures. Objective measurements suggest that pharyngeal dysfunction is common in children with clinical signs of OPD. A key finding of this study was evidence of markers of restricted UES opening.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Deglutição Tipo de estudo: Diagnostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2016 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Deglutição Tipo de estudo: Diagnostic_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 2016 Tipo de documento: Article País de publicação: Estados Unidos