儿童严重口咽吞咽困难：通过一种新方法解决的临床挑战。

IF 3 3区医学 Q1 OTORHINOLARYNGOLOGY

Dysphagia Pub Date : 2025-10-04 DOI:10.1007/s00455-025-10893-5

Steven Osorio, Maria Camila Borbon, Cheryl Hersh, Christopher Hartnick

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引用次数: 0

摘要

我们提出的情况下，一个2岁的男性持续口咽吞咽困难和反复误吸。喂养困难开始于新生儿期，特点是在喂养时咳嗽、湿哭、窒息和发绀。随后多次住院，灵活的内镜下吞咽评估（FEES）显示声带和咽池的移动和不同稠度的无声吸入，同时没有吞咽起始。视频透视吞咽研究（VFSS）显示持续的渗透和吸入，在咽期前后气管壁都有造影剂涂层，导致胃造口置入。什么机制可以解释这个孩子持续严重的吞咽困难，什么治疗策略可以考虑？

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Pediatric Severe Oropharyngeal Dysphagia: A Clinical Challenge Addressed Through a Novel Approach.

We present the case of a 2-year-old male with persistent oropharyngeal dysphagia and recurrent aspiration. Feeding difficulties began in the neonatal period, characterized by coughing, wet cry, choking, and cyanosis during feeds. Multiple hospitalizations followed, and flexible endoscopic evaluation of swallowing (FEES) showed mobile vocal folds and pharyngeal pooling and silent aspiration with various consistencies, alongside absent swallow initiation. Videofluoroscopic swallowing studies (VFSS) demonstrated ongoing penetration and aspiration, with contrast coating both, anterior and posterior tracheal wall during pharyngeal phase, leading to gastrostomy placement. What mechanisms might explain persistent severe dysphagia in this child, and what therapeutic strategies could be considered?

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来源期刊

Dysphagia 医学-耳鼻喉科学

CiteScore

4.90

自引率

15.40%

发文量

149

审稿时长

6-12 weeks

期刊介绍： Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.