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Published on: September 19, 2015
Development of the orohypopharyngeal cavity in normal infants and young children
Insights
Oropharyngeal and hypopharyngeal lengths in children increase linearly with age and height. These findings provide crucial reference data for developing manofluoroscopy techniques to study infant swallowing.
Area of Science:
- Pediatric anatomy
- Otolaryngology
- Medical imaging
Background:
- Understanding pharyngeal cavity growth is essential for pediatric diagnostics.
- Previous studies have not established detailed growth parameters for the oropharynx and hypopharynx in early childhood.
Purpose of the Study:
- To measure and establish normative growth data for the oropharynx and hypopharynx in infants and young children.
- To provide reference measurements for developing manofluoroscopy for pediatric deglutition studies.
Main Methods:
- Prospective study of 23 healthy children aged 0-4 years.
- Lateral videofluoroscopy used to assess pharyngeal structures during breathing.
- Digital image analysis with a specialized computer program.
Main Results:
- Statistically significant linear correlations found between age/height and pharyngeal segment lengths.
- Oropharyngeal and hypopharyngeal lengths increase with age and height.
- No significant gender-based differences in pharyngeal dimensions were observed.
Conclusions:
- Established linear regression models can define pharyngeal segment lengths up to age 4.
- Normative data support the development of manofluoroscopy for infant swallowing assessment.
- Results provide a basis for understanding normal pediatric pharyngeal development.
Objective:
To study the growth of the oropharynx and hypopharynx in infants and young children by measuring the lengths of the segments between nasopharyngeal valve and tongue base, tongue base and arytenoids, and arytenoids and upper esophageal sphincter. These measurements will be used as references for developing manofluoroscopy to study deglutition in infants and young children.
Patients And Methods:
Twenty-three children (14 boys, 9 girls) between birth and 4 years of age were prospectively studied. All children had near normal growth parameters and were free of medical illnesses or other major medical conditions that are known to influence the pharyngeal cavity. Lateral videofluoroscopy was used to assess the pharyngeal structures during breathing. All images were digitally recorded and analyzed using a computer program designed specifically for this study.
Results And Conclusions:
Statistically significant correlations were found between the age or height of the patient and the distance from velopharyngeal valve to tongue base and the distance from tongue base to arytenoids, showing a linear increase of the length of the oro- and hypopharynx with age and patient height. There was no significant difference in the pharyngeal distances between boys and girls. On the basis of these results, a linear regression comparison could be established to define the length of each pharyngeal segment for any age until 4 years and for the 50th percentile of height.
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