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Dysphagia in Children

机译：儿童吞咽困难

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ublishercopyright>? 2018 Mosby, Inc.? 2018 Mosby, Inc. Speech-Language Pathologists (SLP) play an integral role in evaluating and treating pediatric patients with dysphagia related to aerodigestive disorders. Non-supportive anatomy, cardio-respiratory and medical status, state control, neurologic functioning, postural stability and control, gastrointestinal functioning, hunger and satiation, developmental abilities, oral-motor skills, oral/pharyngeal reflexes, airway protection and secretion management can create barriers to successful oral feeding. Swallowing is broken down into four phases and difficulties can occur during any phase or in combination with another phase of swallowing. Dysphagia is diagnosed by both clinical and instrumental evaluation. Objective evaluations of swallowing include the Video Fluoroscopic Swallow Study (VFSS) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). A Video Fluoroscopic Swallow Study (VFSS) is a radiographic study assessing oropharyngeal swallow function. The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is conducted by passing a laryngoscope through the nose to just below the soft palate for a “bird's eye view” of laryngeal anatomy and swallow function. Following a diagnosis of dysphagia from either a clinical or instrumental assessment, there are a variety of avenues that can be pursued including diet modifications, compensatory strategies, and use of specialized equipment to ensure a safe feeding plan and reduce the risk of aspiration. In conclusion, through numerous evaluation and intervention approaches, the contributions of SLPs helps provide input for well-rounded, multi-disciplinary plans supporting successful oral feeding.Speech-Language Pathologists (SLP) play an integral role in evaluating and treating pediatric patients with dysphagia related to aerodigestive disorders. Non-supportive anatomy, cardio-respiratory and medical status, state control, neurologic functioning, postural stability and control, gastrointestinal functioning, hunger and satiation, developmental abilities, oral-motor skills, oral/pharyngeal reflexes, airway protection and secretion management can create barriers to successful oral feeding. Swallowing is broken down into four phases and difficulties can occur during any phase or in combination with another phase of swallowing. Dysphagia is diagnosed by both clinical and instrumental evaluation. Objective evaluations of swallowing include the Video Fluoroscopic Swallow Study (VFSS) and Fiberoptic Endoscopic Evaluation of Swallowing (FEES). A Video Fluoroscopic Swallow Study (VFSS) is a radiographic study assessing oropharyngeal swallow function. The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is conducted by passing a laryngoscope through the nose to just below the soft palate for a “bird's eye view” of laryngeal anatomy and swallow function. Following a diagnosis of dysphagia from either a clinical or instrumental assessment, there are a variety of avenues that can be pursued including diet modifications, compensatory strategies, and use of specialized equipment to ensure a safe feeding plan and reduce the risk of aspiration. In conclusion, through numerous evaluation and intervention approaches, the contributions of SLPs helps provide input for well-rounded, multi-disciplinary plans supporting successful oral feeding.
机译：ublishercopyright>？ 2018 MOSBY，INC。？ 2018 Mosby，Inc。非支持性解剖，心动呼吸和医学状态，状态控制，神经功能，姿势稳定性和控制，胃肠功能，饥饿和饱满，发育能力，口腔运动技能，口腔/咽反退，气道保护和分泌管理可以创造成功口服喂养的障碍。吞咽分解为四个阶段，并且在任何相或与吞咽另一种相结合时可能发生困难。吞咽困难被临床和仪器评估诊断出来。吞咽吞咽的客观评价包括吞咽荧光智能研究（VFS）和吞咽纤维内窥镜评估（费用）。视频荧光透视吞咽研究（VFSS）是评估口咽吞咽功能的放射线研究。通过使喉镜通过鼻子通过鼻子通过鼻子以低于软腭来进行吞咽的纤维内窥镜评估，用于喉部解剖学和吞咽功能的“鸟瞰图”。在诊断吞咽困难或诊断临床或乐器评估后，有各种途径可以追求，包括饮食修改，补偿策略和使用专业设备，以确保安全饲养计划，降低愿望的风险。总之，通过众多评估和干预方法，SLP的贡献有助于为支持成功的口服喂养的圆润，多学科计划提供投入。语言病理学家（SLP）在评估中发挥积分作用并治疗儿科患者患有困难患者的吞咽性疾病。非支持性解剖，心动呼吸和医学状态，状态控制，神经功能，姿势稳定性和控制，胃肠功能，饥饿和饱满，发育能力，口腔运动技能，口腔/咽反退，气道保护和分泌管理可以创造成功口服喂养的障碍。吞咽分解为四个阶段，并且在任何相或与吞咽另一种相结合时可能发生困难。吞咽困难被临床和仪器评估诊断出来。吞咽吞咽的客观评价包括吞咽荧光智能研究（VFS）和吞咽纤维内窥镜评估（费用）。视频荧光透视吞咽研究（VFSS）是评估口咽吞咽功能的放射线研究。通过使喉镜通过鼻子通过鼻子通过鼻子以低于软腭来进行吞咽的纤维内窥镜评估，用于喉部解剖学和吞咽功能的“鸟瞰图”。在诊断吞咽困难或诊断临床或乐器评估后，有各种途径可以追求，包括饮食修改，补偿策略和使用专业设备，以确保安全饲养计划，降低愿望的风险。总之，通过众多评估和干预方法，SLP的贡献有助于为支持成功的口服喂养提供全面的多学科计划的投入。

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