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Published on: December 1, 2023
459
Prevalence and Risk Factors for Swallowing Dysfunction in Patients With Laryngomalacia Treated Medically and
Janelle Sloychuk1, Amy Callaghan2, Amanda Adsett3
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Alberta Edmonton Alberta Canada.
OTO Open
|October 2, 2024
Summary
Patients with laryngomalacia (LM) often experience significant swallowing dysfunction (SwD), with many requiring medical intervention. Routine swallowing assessments are recommended for all infants diagnosed with LM.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Gastroenterology
- Speech-Language Pathology
Background:
- Laryngomalacia (LM) is a common congenital condition affecting the larynx.
- Swallowing dysfunction (SwD) can be a significant complication in infants with LM.
- The prevalence and characteristics of SwD in LM patients require further elucidation.
Purpose of the Study:
- To determine the prevalence, pattern, and nature of SwD in a cohort of patients with LM.
- To identify factors associated with a higher burden of SwD in this population.
Main Methods:
- Retrospective review of 212 pediatric patients diagnosed with LM.
- Systematic clinical swallowing evaluation and instrumental assessments (VFSS/FEES) were performed.
- Data on swallowing abnormalities, interventions, and outcomes were collected.
Main Results:
- 54% of patients underwent instrumental swallow evaluation, with 69% showing abnormalities.
- 26% of patients experienced laryngeal penetration and/or aspiration.
- Severe LM and surgical treatment correlated with higher rates of aspiration.
Conclusions:
- Infants with LM exhibit a high prevalence of dysphagia necessitating medical intervention.
- Systematic swallowing evaluations are crucial for all patients diagnosed with LM.
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