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Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing
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Laryngomalacia and Swallow Dysfunction.

Brian L Scott1, Derek Lam1, Carol MacArthur1

  • 1Department of Otolaryngology-Head and Neck Surgery, Oregon Health & Science University, Portland, OR, USA.

Ear, Nose, & Throat Journal
|May 24, 2019
PubMed
Summary
This summary is machine-generated.

Dysphagia (swallowing difficulty) is common in children with laryngomalacia (floppy voice box). Supraglottoplasty surgery improved swallowing symptoms in most children, but further research is needed.

Keywords:
aspirationdysphagialaryngomalaciapediatricsswallow study

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Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Gastroenterology
  • Pediatric Pulmonology

Background:

  • Laryngomalacia is a known cause of stridor and sleep-disordered breathing in children.
  • The association between laryngomalacia and dysphagia is not well understood.
  • Understanding dysphagia in this population is crucial for effective management.

Purpose of the Study:

  • To characterize patient demographics, symptoms, and dysphagia prevalence in children with laryngomalacia.
  • To evaluate the efficacy of supraglottoplasty in improving feeding difficulties associated with laryngomalacia.

Main Methods:

  • Retrospective study of 44 children with laryngomalacia who underwent a modified barium swallow study (MBSS).
  • Data collected included comorbidities, airway and feeding symptoms, MBSS findings, and surgical history.
  • Patient records were reviewed from a tertiary academic pediatric medical center.

Main Results:

  • 57% of patients showed penetration or aspiration on MBSS, correlating with dysphagia symptoms.
  • 57% of patients underwent supraglottoplasty.
  • 92% of patients reported improved dysphagia symptoms post-surgery.

Conclusions:

  • Dysphagia is a significant issue in a subset of children with laryngomalacia.
  • Swallow evaluations are recommended for symptomatic children to guide interventions.
  • Supraglottoplasty shows promise in improving dysphagia in laryngomalacia patients, though direct causality requires further study.