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- Title
Videofluoroscopic Swallow Studies and Diagnostic Outcomes in Otherwise Healthy Infants With Dysphagia.
- Authors
Shih, Michael C.; Rappazzo, Christina; Hudson, Caroline; Ongkasuwan, Julina
- Abstract
Objectives: To evaluate videofluoroscopic swallow study (VFSS) findings in infants with dysphagia and without prior diagnoses, and to characterize the outcomes and any diagnoses that follow. Methods: A chart review of all pediatric patients who received a VFSS at a tertiary children's hospital from November 2008 to March 2017 was performed. Results: There were 106 infants (57 males and 49 females) with 108 VFSS. VFSS was normal in 18 (16.98%) infants. Regarding airway protection, 50 (47.17%) infants had laryngeal penetration, and 8 (7.55%) had tracheal aspiration; 3 (2.83%, 37.5% of all aspirators) exhibited silent aspiration. Of the 75 infants with minimum 2-year follow-up, 35 (46.67%) had no sequelae of disease and received no diagnoses. The most common diagnoses and pathologic sequelae were gastroesophageal reflux (n = 18, 24.00%), asthma (n = 8, 10.67%), laryngomalacia (n = 6, 8.00%), and tracheomalacia (n = 4, 5.33%), all consistent with United States pediatric data on prevalence. All infants (n = 51) with follow-up for dysphagia had resolution of symptoms within 9 months from VFSS order date. Conclusions: Otherwise healthy infants may show signs of dysphagia and not develop later illness. Parents can thus be counseled on the implications of dysphagia in a previously healthy infant. Our findings provide comparative statistics for future research in pediatric dysphagia.
- Subjects
UNITED States; GASTROESOPHAGEAL reflux diagnosis; ASTHMA diagnosis; LARYNX; SCIENTIFIC observation; CHILDREN'S hospitals; RESPIRATORY aspiration; TRACHEOMALACIA; DEGLUTITION disorders; ACQUISITION of data; TERTIARY care; RETROSPECTIVE studies; FLUOROSCOPY; LARYNGOMALACIA; MEDICAL records; DESCRIPTIVE statistics; DISEASE prevalence; LONGITUDINAL method; DISEASE remission; CHILDREN
- Publication
Annals of Otology, Rhinology & Laryngology, 2022, Vol 131, Issue 8, p892
- ISSN
0003-4894
- Publication type
Article
- DOI
10.1177/00034894211047786