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Updated: Jan 24, 2026

Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing
Published on: May 6, 2014
Swallowing problems in children with a tracheostomy tube
Marloes Streppel1, Laura L Veder1, Bas Pullens1
1Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, the Netherlands.
Introduction:
Swallowing problems in children with a tracheostomy tube seem to be a common problem, although exact prevalence is not known. The aim of this study is to identify the prevalence and type of swallowing problems in children with a tracheostomy tube.
Methods:
We retrospectively included 44 children having a tracheostomy tube at Erasmus MC-Sophia Children's hospital. Assessment by a specialized speech and language therapist, the Modified Evans Blue Dye test, Video Fluoroscopic Swallowing Study and a Fiber-optic Endoscopic Evaluation of Swallowing were reviewed with regard to the different phases of swallowing, in particular signs of aspiration.
Results:
In our cohort, 31 (70%) children with a tracheostomy tube presented with problems in the oral and/or the pharyngeal phase of swallowing. Overall 19 (43%) children aspirated.
Conclusions:
The majority of children with a tracheostomy tube have swallowing problems in the different swallowing phases with a high risk for aspiration.
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