Evaluation of Swallow Function in Patients with Craniofacial Microsomia: A Retrospective Study

Craniofacial microsomia (CFM) is characterized by underdevelopment of the structures derived from the first and second pharyngeal arches resulting in aesthetic, psychological, and functional problems including feeding and swallowing difficulties. The aim of this study is to gain more insight into sw...

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Vydané v:Dysphagia Ročník 33; číslo 2; s. 234 - 242
Hlavní autori: van de Lande, Lara S., Caron, Cornelia J. J. M., Pluijmers, Britt. I., Joosten, Koen F. M., Streppel, Marloes, Dunaway, David J., Koudstaal, Maarten J., Padwa, Bonnie L.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: New York Springer US 01.04.2018
Springer
Springer Nature B.V
Predmet:
Child
Congenital diseases
Deglutition - physiology
Deglutition Disorders - diagnosis
Dysphagia
Face
Feeding
Female
Gastroenterology
Goldenhar Syndrome - physiopathology
Health aspects
Hepatology
Humans
Hypoplasia
Imaging
Male
Mandible
Medical research
Medical screening
Medicine
Medicine & Public Health
Medicine, Experimental
Netherlands
Original
Original Article
Otorhinolaryngology
Pharynx
Radiology
Retrospective Studies
Swallowing
United Kingdom
United States
United States
United Kingdom
Netherlands
Modified barium swallow test
Feeding difficulties
Dysphagia
Craniofacial microsomia
Hemifacial microsomia
Swallow function
ISSN:0179-051X, 1432-0460, 1432-0460
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Shrnutí:Craniofacial microsomia (CFM) is characterized by underdevelopment of the structures derived from the first and second pharyngeal arches resulting in aesthetic, psychological, and functional problems including feeding and swallowing difficulties. The aim of this study is to gain more insight into swallowing difficulties in patients with CFM. A retrospective study was conducted in the population of patients diagnosed with CFM at three major craniofacial units. Patients with feeding difficulties and those who underwent video fluoroscopic swallow (VFS) studies were included for further analyses. The outcome of the VFS-studies was reviewed with regard to the four phases of swallowing. In our cohort, 13.5% of the 755 patients were diagnosed with swallowing difficulties. The outcome of the VFS-studies of 42 patients showed difficulties in the oral and pharyngeal phases with both thin and thick liquids. Patients with more severe mandibular hypoplasia showed more difficulties to form an appropriate bolus compared to patients who were less severely affected. This is the first study to document swallowing problems in patients with CFM. Difficulties were seen in both the oral and pharyngeal phases. We recommend routine screening for swallowing issues by a speech and language therapist in all patients with CFM and to obtain a VFS-study in patients with a type III mandible.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0179-051X
1432-0460
1432-0460
DOI:10.1007/s00455-017-9851-x