Endoscopic evaluation of swallowing in children: 3 years of experience

Detalhes bibliográficos
Autor(a) principal: Nascimento, Joana
Data de Publicação: 2022
Outros Autores: Moreira, Inês, Cunhas, Inês, Forjaco, Ana, Alves, Pedro, Ximenes Araújo, Joana, Pinto Sousa, José, Araújo, Bernardo, Sousa, Herédio, Barros, Ezequiel
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.972
Resumo: Swallowing disorders in children affect approximately 1% of children per year in the United States and are often underdiagnosed. The development of noninvasive diagnostic techniques has allowed for more accurate diagnoses, regardless of age. This study aims to identify the prevalence of swallowing disorders and the need for instrumental evaluation by videofluoroscopy of swallowing (VFD) and/or fiberoptic endoscopic evaluation of swallowing (FEES) in patients followed at the pediatric laryngeal consultation and to describe two representative cases, emphasizing the specificities of performing FEES in children. A retrospective analysis of pediatric patients followed in the laryngeal consultation between 2018-2020 was performed.Of the 278 children evaluated, swallowing disorders were found in 26% (n=71). FEES was performed in 24%, VFD in 32%, and 10% of children underwent both exams. Those patients who underwent FEES, structural laryngeal pathology was the most commonly found alteration, while 3 patients had neurological conditions. VFD and FEES are complementary tests, essential to diagnose anatomical defects, and are the only objective way to confirm or exclude aspiration. FEES in pediatrics has specific characteristics and requires experience to perform and interpret.
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spelling Endoscopic evaluation of swallowing in children: 3 years of experienceAvaliação endoscópica das alterações da deglutição em idade pediátrica: Experiência de 3 anos Autorescriançasdisfagiadistúrbios da deglutiçãoavaliação endoscópicachildrendysphagiaswallowing disordersendoscopic evaluationSwallowing disorders in children affect approximately 1% of children per year in the United States and are often underdiagnosed. The development of noninvasive diagnostic techniques has allowed for more accurate diagnoses, regardless of age. This study aims to identify the prevalence of swallowing disorders and the need for instrumental evaluation by videofluoroscopy of swallowing (VFD) and/or fiberoptic endoscopic evaluation of swallowing (FEES) in patients followed at the pediatric laryngeal consultation and to describe two representative cases, emphasizing the specificities of performing FEES in children. A retrospective analysis of pediatric patients followed in the laryngeal consultation between 2018-2020 was performed.Of the 278 children evaluated, swallowing disorders were found in 26% (n=71). FEES was performed in 24%, VFD in 32%, and 10% of children underwent both exams. Those patients who underwent FEES, structural laryngeal pathology was the most commonly found alteration, while 3 patients had neurological conditions. VFD and FEES are complementary tests, essential to diagnose anatomical defects, and are the only objective way to confirm or exclude aspiration. FEES in pediatrics has specific characteristics and requires experience to perform and interpret.As alterações da deglutição na criança afetam aproximadamente 1% das crianças/ano, nos Estados Unidos, sendo f requentemente subdiagnosticadas. O desenvolvimento de técnicas diagnósticas não invasivas tem permitido diagnósticos mais precisos, independentemente da idade. Este trabalho tem como objetivo identificar a prevalência das alterações da deglutição e a necessidade de avaliação instrumental por videofluoroscopia da deglutição (VFD) e/ ou videoendoscopia de deglutição (fiberoptic endoscopic evaluation of swallowing - FEES) nos doentes seguidos na consulta pediátrica de laringe, descrevendo dois casos representativos e enfatizando as particularidades da realização da FEES em crianças. Procedeu-se à análise retrospetiva de doentes em idade pediátrica, seguidos na consulta de laringe no período de 2018-2020. Das 278 crianças avaliadas, verificaram-se alterações da deglutição em 26% (n=71). A FEES foi realizada em 24%, a VFD em 32% e 10% das crianças realizaram ambos os exames. Das crianças que realizaram FEES, a patologia estrutural da laringe foi a alteração mais encontrada, tendo-se registado 3 doentes com patologia neurológica. A VFD e a FEES são exames complementares fundamentais para diagnosticar defeitos anatómicos, e são a única forma objetiva de confirmar ou excluir aspiração, sendo que a FEES em idade pediátrica possui características específicas e requer experiência para a sua realização e interpretação.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2022-09-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.972https://doi.org/10.34631/sporl.972Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 3 (2022): September; 169-178Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 3 (2022): Setembro; 169-178Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 3 (2022): Setembro; 169-1782184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://journalsporl.com/index.php/sporl/article/view/2119https://journalsporl.com/index.php/sporl/article/view/2119/133https://journalsporl.com/index.php/sporl/article/view/2119/134Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessNascimento, JoanaMoreira, InêsCunhas, InêsForjaco, AnaAlves, PedroXimenes Araújo, JoanaPinto Sousa, JoséAraújo, BernardoSousa, HerédioBarros, Ezequiel2024-01-04T12:51:27Zoai:journalsporl.com:article/2119Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:30:00.804340Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Endoscopic evaluation of swallowing in children: 3 years of experience
Avaliação endoscópica das alterações da deglutição em idade pediátrica: Experiência de 3 anos Autores
title Endoscopic evaluation of swallowing in children: 3 years of experience
spellingShingle Endoscopic evaluation of swallowing in children: 3 years of experience
Nascimento, Joana
crianças
disfagia
distúrbios da deglutição
avaliação endoscópica
children
dysphagia
swallowing disorders
endoscopic evaluation
title_short Endoscopic evaluation of swallowing in children: 3 years of experience
title_full Endoscopic evaluation of swallowing in children: 3 years of experience
title_fullStr Endoscopic evaluation of swallowing in children: 3 years of experience
title_full_unstemmed Endoscopic evaluation of swallowing in children: 3 years of experience
title_sort Endoscopic evaluation of swallowing in children: 3 years of experience
author Nascimento, Joana
author_facet Nascimento, Joana
Moreira, Inês
Cunhas, Inês
Forjaco, Ana
Alves, Pedro
Ximenes Araújo, Joana
Pinto Sousa, José
Araújo, Bernardo
Sousa, Herédio
Barros, Ezequiel
author_role author
author2 Moreira, Inês
Cunhas, Inês
Forjaco, Ana
Alves, Pedro
Ximenes Araújo, Joana
Pinto Sousa, José
Araújo, Bernardo
Sousa, Herédio
Barros, Ezequiel
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nascimento, Joana
Moreira, Inês
Cunhas, Inês
Forjaco, Ana
Alves, Pedro
Ximenes Araújo, Joana
Pinto Sousa, José
Araújo, Bernardo
Sousa, Herédio
Barros, Ezequiel
dc.subject.por.fl_str_mv crianças
disfagia
distúrbios da deglutição
avaliação endoscópica
children
dysphagia
swallowing disorders
endoscopic evaluation
topic crianças
disfagia
distúrbios da deglutição
avaliação endoscópica
children
dysphagia
swallowing disorders
endoscopic evaluation
description Swallowing disorders in children affect approximately 1% of children per year in the United States and are often underdiagnosed. The development of noninvasive diagnostic techniques has allowed for more accurate diagnoses, regardless of age. This study aims to identify the prevalence of swallowing disorders and the need for instrumental evaluation by videofluoroscopy of swallowing (VFD) and/or fiberoptic endoscopic evaluation of swallowing (FEES) in patients followed at the pediatric laryngeal consultation and to describe two representative cases, emphasizing the specificities of performing FEES in children. A retrospective analysis of pediatric patients followed in the laryngeal consultation between 2018-2020 was performed.Of the 278 children evaluated, swallowing disorders were found in 26% (n=71). FEES was performed in 24%, VFD in 32%, and 10% of children underwent both exams. Those patients who underwent FEES, structural laryngeal pathology was the most commonly found alteration, while 3 patients had neurological conditions. VFD and FEES are complementary tests, essential to diagnose anatomical defects, and are the only objective way to confirm or exclude aspiration. FEES in pediatrics has specific characteristics and requires experience to perform and interpret.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-25
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.972
https://doi.org/10.34631/sporl.972
url https://doi.org/10.34631/sporl.972
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2119
https://journalsporl.com/index.php/sporl/article/view/2119/133
https://journalsporl.com/index.php/sporl/article/view/2119/134
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 3 (2022): September; 169-178
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 3 (2022): Setembro; 169-178
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 3 (2022): Setembro; 169-178
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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