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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Deleterious sucking habits and atypical swallowing in children with otitis media with effusion
Giovanni Ralli1, Giovanni Ruoppolo, Renzo Mora
1ENT Department, University of Rome La Sapienza, Italy.
Insights
This study found a link between otitis media with effusion, poor sucking habits, and atypical swallowing in children. These factors appear to be interconnected, suggesting a need for integrated care approaches.
Area of Science:
- Otolaryngology
- Pediatric Dentistry
- Speech-Language Pathology
Background:
- Otitis media with effusion (OME) is a common childhood condition.
- Sucking habits and swallowing patterns can influence oral and pharyngeal function.
- The relationship between OME, sucking habits, and swallowing in children requires further investigation.
Purpose of the Study:
- To explore the correlation between OME, detrimental sucking habits, and atypical swallowing in children.
- To assess the prevalence of these conditions in children with OME compared to healthy controls.
Main Methods:
- A study group of 65 children (7-12 years) with OME for over 3 months was compared to 60 healthy children.
- Evaluations included medical history (sucking habits), ENT examination, tympanometry, orthodontic assessment, and swallowing evaluation.
- Atypical swallowing was defined by specific perioral muscle tension or tongue placement during deglutition.
Main Results:
- Atypical swallowing was observed in 50.7% of children with OME versus 26.6% in the control group.
- Deleterious sucking habits were significantly more prevalent in the OME group (p<0.05).
- Nearly all children with atypical swallowing in both groups exhibited poor sucking habits.
Conclusions:
- The findings suggest a significant correlation between otitis media with effusion, detrimental sucking habits, and the prevalence of atypical swallowing.
- These results highlight the potential impact of oral habits on OME and swallowing function in children.
Objective:
The aim of this study was to investigate the possible correlation between otitis media with effusion, bad sucking habits and atypical swallowing in children affected by otitis media with effusion.
Methods:
65 children, aged from 7 to 12 years, observed in the ENT Department of the "La Sapienza" University of Rome, were enrolled in the study group (group A). All children were affected by otitis media with effusion for more than 3 months. As control group, 60 healthy children, aged from 7 to 12 years were identified (group B). All the children underwent medical history, with evaluation of the sucking habits, ENT examination, tympanometry, orthodontic examination and evaluation of swallowing. In the orthodontic examination the variables analyzed were: maximum mouth opening, right and left mandibular lateral movements and mandibular protrusion. Atypical swallowing was considered to occur when lip activity produced strong tension in the perioral musculature, and/or the tip of the tongue was placed or pushed against the anterior teeth during swallowing.
Results:
In the group A, atypical swallowing was found in 33/65 subjects out of the 65 children (50.7%). In the control group (group B) 16/60 children (26.6%) showed atypical swallowing. Compared with group B, deleterious sucking habits were significantly higher (p<0.05) in the study group (28/65 vs. 12/60). In both the study and control group, deleterious sucking habits were present in almost all children with atypical swallowing (28/33 in group A and 12/16 in group B).
Conclusions:
Our data suggest a correlation between otitis media with effusion, deleterious sucking habits and prevalence of atypical swallowing.
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