唇裂和/或腭裂儿童饮食和吞咽障碍

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Acta Facultatis Medicae Naissensis Pub Date : 2022-01-01 DOI:10.5937/afmnai39-30733
J. Todorović, Mirna Zelić, Lana Jerkić
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引用次数: 0

摘要

介绍。摘要唇腭裂是儿童复杂的先天性口面系统畸形。唇裂和/或腭裂患儿存在不同程度的进食和吞咽问题。的目标。本文的目的是回顾文献和现有的证据,关于可以在唇裂和/或腭裂儿童中识别的饮食和吞咽障碍的类型,以及描述和类型的补偿策略和干预措施,以减轻困难。方法。通过互联网上的专门搜索引擎和电子数据库对相关文献进行深入研究。结果。唇裂的程度与进食和吞咽障碍的严重程度有关,因此最常见的问题是口腔敏感性下降、咳嗽、窒息、鼻反流、吸吮困难、吞咽时由于气道保护不足导致的喉气管误吸,这些都可能导致肺炎和肺部损伤。喂养和吞咽困难也是父母压力的一个来源。结论。窒息、咳嗽、鼻反流、喉气管误吸、吸入空气过多均可导致脱水、营养不良,还需要更换喂养方式,因此,及时发现喂养和吞咽的问题,并对喂养方式进行修改是非常重要的。
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Eating and swallowing disorders in children with cleft lip and/or palate
Introduction. Cleft lip and palate are complex congenital anomalies of the orofacial system of children. Feeding and swallowing problems occur with varying degrees in children with cleft lip and/or palate. Aim. The aim of this paper was to review the literature and available evidence regarding the types of eating and swallowing disorders that can be identified in children with cleft lip and/or palate, as well as a description and types of compensatory strategies and interventions to alleviate difficulties. Methods. Insight into the relevant literature was performed by specialized search engines on the internet and insight into the electronic database. Results. The extent of the cleft is related to the severity of eating and swallowing disorders, so the most common problems are decreased oral sensitivity, cough, choking, nasal regurgitation, difficulty in sucking, laryngotracheal aspiration due to inadequate airway protection during swallowing, which may result in pneumonia and lung damage. Feeding and swallowing difficulty is also a source of stress for parents. Conclusion. Choking, coughing, nasal regurgitation, laryngotracheal aspiration, excessive air intake can lead to dehydration, malnutrition, but also the need for alternative feeding methods Therefore, it is of great importance to identify the problems of feeding and swallowing in a timely manner, along with modifications of the feeding method.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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