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Chewing Function in Children with Repaired Esophageal Atresia-Tracheoesophageal Fistula

Selen Serel Arslan1, Numan Demir1, Aynur Ayşe Karaduman1

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|December 7, 2017
PubMed

Insights

Chewing disorders are prevalent in children with repaired esophageal atresia and tracheoesophageal fistula (EA-TEF). Delayed oral feeding and certain repair types may contribute to these issues, necessitating targeted interventions.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Speech-Language Pathology

Background:

  • Feeding difficulties are common in children with esophageal atresia and tracheoesophageal fistula (EA-TEF).
  • Chewing function, a critical aspect of solid food intake, has not been thoroughly evaluated in this population.
  • This study addresses the gap by assessing chewing function in children post-EA-TEF repair.

Purpose of the Study:

  • To evaluate the chewing function in children who have undergone surgical repair for EA-TEF.
  • To identify potential correlations between chewing performance and factors like repair type and timing of oral feeding.
  • To inform therapeutic strategies for improving oral intake in these children.

Main Methods:

  • Retrospective analysis of 30 children with repaired EA-TEF.
  • Assessment of chewing performance using the Karaduman Chewing Performance Scale (KCPS).
  • Determination of tolerated food textures via the International Dysphagia Diet Standardization Initiative (IDDSI).

Main Results:

  • Over one-third (36.7%) of the children exhibited chewing disorders.
  • KCPS scores indicated varying levels of chewing impairment (Level I, III, IV).
  • A significant positive correlation was found between delayed oral feeding and poorer chewing performance (r=0.63, p=0.001).

Conclusions:

  • Chewing disorders are a notable concern in children with EA-TEF.
  • The type of surgical repair and delayed initiation of oral feeding appear to be associated with chewing difficulties.
  • Interventions aimed at enhancing chewing function are crucial for this patient group.
Abstract

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