INVESTIGATION OF CHARACTERISTIC FEATURES OF OROPHARYNGAL SWALLOWING DISORDER IN CHILDREN WITH OPERATED ESOPHAGUS ATRESIS
Project no. 23455 · Status: Kapanmış (Yayın bekleniyor) · 2021
Summary
<p>Although swallowing disorders are generally seen at a rate of 13% in the pediatric age group, it is quite common at a rate of 25-55% in children in the developmental period and 33-88% in children with developmental disorders. It is a health problem that can have important results and complications such as growth and developmental delay, malnutrition, aspiration pneumonia and dehydration. Although it is not a specific disease, dysphagia in the pediatric age group can be a symptom of many other diseases such as neurogenetic syndrome, esophageal atresia, cerebral palsy, laryngopharyngeal reflux, connective tissue diseases, and caustic esophageal injury. However, evaluation in children is not as easy as in adult patients. Instrumental evaluations are seen as dynamic tools that provide valuable information in the creation of functional and safe nutrition plans. It is difficult to diagnose chronic aspiration in pediatric patients. In case of delay in diagnosis, important and life-threatening complications arise. Instrumental tests (videofluoroscopic and fiberoptic endoscopic evaluation) have been shown to be superior in evaluating silent aspirations.</p><p><br></p><p>However, effective diagnosis and treatment cannot be made in many pediatric patients. Data on the characteristics of specific diseases with swallowing disorders in children are also lacking. In addition, although the details regarding the fiberoptic endoscopic evaluation method in adult patients have been fully revealed, the number and quality of studies on this subject in pediatric patients are not sufficient.</p><p><br></p><p>Therefore, this study aimed to reveal the clinical characteristics, fiberoptic endoscopic evaluation findings and associated factors in pediatric patients under the age of 18 who were referred to the university hospital swallowing laboratory with a complaint of “swallowing disorder” in those with esophageal atresia.</p>