Swallowing, airway abnormalities common in NNI children with DP
Abnormalities in swallowing and airway function are common in non-neurologically impaired (NNI) paediatric patients with dysphagia (DP), a new study has shown.
Of the 128 NNI paediatric DP patients (median age 6.6 months; 54 percent male), 86 percent (n=110) underwent instrumental swallowing assessment before treatment. Abnormal swallows were observed for 64 percent (n=70).
Full airway endoscopy, performed in 72 patients, showed that laryngomalacia was observed in 29 patients, of whom 14 had type one while 15 had type 2. Type 1 laryngeal cleft was reported in 24 patients.
Gastrointestinal endoscopy was performed in 27 participants and revealed that there was one case of gastritis and four of oesophagitis according to microscopic examination.
Of the participants, 119 were recommended for further treatments which included surgery and modifications in feeding. Furthermore, 66 percent (n=85) of the patients modified the food and liquid consistency while 12 percent (n=15) were put on enteral feeding.
Surgery was performed on 36 percent (n=46) of patients. Of these, 19 patients received injection augmentations using hyaluronic acid-based products, 14 underwent endoscopic repair of the laryngeal cleft and 18 had supraglottoplasty.
After treatment, 79 percent (n=94) achieved symptom resolution and 7 percent (n=8) remained on alternate feeding routes.
Participants were recruited from the Aspiration Clinic at the Stollery Children’s Hospital in Canada. Those that were referred by speech and language pathologists or paediatric otolaryngologists were eligible. Only those without neurological abnormalities that may contribute to DP were included.