Current opinion in otolaryngology and head and neck surgery: the role of the otolaryngologist in the management of pediatric dysphagia.

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-10-11 DOI:10.1097/MOO.0000000000000934
Annie Farrell, Nikhila Raol
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引用次数: 0

Abstract

Purpose of review: Dysphagia affects at least 1% of the pediatric population. This prevalence further increases in patients who are born prematurely or who have underlying neuromuscular or cardiopulmonary disorders. A multidisciplinary team approach, including an Otolaryngologist, can help promote an expedited diagnosis and therapeutic regimen, ensuring that the patient receives adequate nutrition needed for growth and development.

Recent findings: The development and growth of multidisciplinary aerodigestive clinics have improved outcomes in pediatric patients with dysphagia. If a structural concern is noted on examination, there remain a multitude of medical and surgical options to help improve patient outcomes and swallow. These treatment options are usually multimodality and specific interventions may be employed to target a specific and notable abnormality.

Summary: Pediatric dysphagia is a complex concern. For the otolaryngologist, etiologies with surgical targets may include ankyloglossia, tonsillar hypertrophy, laryngomalacia, laryngo-esophageal cleft, vocal fold movement impairment, and cricopharyngeal achalasia. The development and formalization of a multidisciplinary approach has streamlined and broadened treatment options for these patients. An otolaryngologist is integral as part of the treatment team of these patients.

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耳鼻咽喉科和头颈外科的最新观点:耳鼻喉科医生在儿童吞咽困难治疗中的作用。
综述目的:吞咽困难影响至少1%的儿科人群。这种患病率在早产或有潜在神经肌肉或心肺疾病的患者中进一步增加。包括耳鼻喉科医生在内的多学科团队方法可以帮助促进快速诊断和治疗方案,确保患者获得生长发育所需的充足营养。最近的发现:多学科空气消化诊所的发展和壮大改善了儿童吞咽困难患者的预后。如果在检查中发现了结构性问题,那么仍有多种医疗和手术选择可以帮助改善患者的预后和吞咽能力。这些治疗选择通常是多模式的,可以采用特定的干预措施来针对特定和显著的异常。摘要:儿童吞咽困难是一个复杂的问题。对于耳鼻喉科医生来说,有手术靶点的病因可能包括强直性脊柱炎、扁桃体肥大、喉软化症、喉食管裂、声带运动障碍和环咽失弛缓症。多学科方法的发展和正式化简化并拓宽了这些患者的治疗选择。耳鼻喉科医生是这些患者治疗团队不可或缺的一部分。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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