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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
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Dysphagia Management in Children: Implementation and Perspectives of Flexible Endoscopic Evaluation of Swallowing

Athanasia Printza1, Katerina Sdravou1, Stefanos Triaridis1

  • 1First Otolaryngology Department, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Children (Basel, Switzerland)
|December 23, 2022
PubMed

Insights

Pediatric dysphagia (swallowing impairment) impacts child health and development. Flexible endoscopic evaluation of swallowing (FEES) is a safe and valid tool for assessing swallowing safety and efficiency in children.

Area of Science:

  • Pediatric Medicine
  • Gastroenterology
  • Otolaryngology

Background:

  • Dysphagia, or impaired swallowing, is prevalent in pediatric populations, potentially leading to failure to thrive and respiratory issues from aspiration.
  • Clinical swallowing evaluations lack the accuracy to predict silent aspiration, necessitating advanced assessment methods.
  • Swallowing disorders significantly affect a child's health, development, and overall quality of life for both the child and their family.

Purpose of the Study:

  • To highlight the importance and application of Flexible Endoscopic Evaluation of Swallowing (FEES) in the pediatric population.
  • To detail the protocol and benefits of FEES in assessing pediatric dysphagia.
  • To emphasize the role of FEES in a multidisciplinary approach to managing pediatric swallowing difficulties.

Main Methods:

  • Flexible Endoscopic Evaluation of Swallowing (FEES) is employed as a safe and valid instrumental assessment.
  • FEES involves evaluating anatomical/physiological parameters, testing various food/liquid consistencies, and assessing treatment strategies.
  • Pediatric FEES incorporates specific adaptations for infants, including readiness for trials and feeding pattern coordination.

Main Results:

  • FEES allows for the identification of structural abnormalities and assessment of swallowing function with real-life food and liquids.
  • The procedure can be performed during breastfeeding and helps evaluate fatigue and treatment efficacy.
  • FEES provides a comprehensive evaluation of the safety, efficiency, and adequacy of oral intake in children with dysphagia.

Conclusions:

  • FEES is a crucial component in the assessment and management of pediatric dysphagia, offering detailed insights into swallowing function.
  • A team-based management approach, incorporating FEES, is advocated for optimal care of dysphagic children.
  • Standardization of pediatric FEES protocols and training is essential for ensuring clinical competency and consistent evaluation.

Keywords:
FEESchildrendeglutitiondysphagiafeedingflexible endoscopic evaluation of swallowingpediatric swallowing disorders

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