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European Archives of Oto-Rhino-Laryngology

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Open Access 27-07-2023 | Aspiration | Laryngology

Evaluation of swallowing in children with higher grades glottic web

Authors: Ahmed El-Sobki, Reham AE Ibrahim, Saad Elzayat, Mohamed E. El-Deeb, Bassem Ashraf, Menna Ibrahim Hashish, Mahmoud Elsaid Ibrahim Alsobky, Abeer Salamah

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2023

Abstract

Purpose

to evaluate the swallowing function in children with higher grades of glottic web and to detect the impact of surgical division of the glottic web on the swallowing parameters. We also performed a voice analysis as a secondary objective in this study.

Methods

This prospective case series study included 12 children with higher grades of the glottic web; grades 3 and 4. Evaluation of the swallowing function was done by clinical swallowing evaluation including symptoms and signs of swallowing dysfunction during feeding, such as vomiting, coughing, choking, or cyanosis, and bedside swallowing assessment using the 3-oz water swallow test. Instrumental evaluation of swallowing function was performed using flexible endoscopic evaluation of swallowing (FEES). The evaluation was performed both preoperatively and postoperatively.

Results

The number of children suffering from swallowing difficulties significantly increased during the postoperative evaluation where 6 (50%) children demonstrated choking during feeding after the surgical division of the web in comparison to only 3 (25%) preoperatively. Also, coughing and choking during the 3-oz water swallow test significantly increased following the division of the web with P < 0.001.

Conclusion

Swallowing assessment is mandatory as children with higher grades of the glottic web, requiring reconstructive surgeries, are at risk of swallowing deficit which can be aggravated postoperatively. With improvement in the airway and surgery-specific outcomes, swallowing function is an important secondary outcome that has a significant impact on the lives of these kids and their families.

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Title: Evaluation of swallowing in children with higher grades glottic web
Authors: Ahmed El-Sobki
Reham AE Ibrahim
Saad Elzayat
Mohamed E. El-Deeb
Bassem Ashraf
Menna Ibrahim Hashish
Mahmoud Elsaid Ibrahim Alsobky
Abeer Salamah
Publication date: 27-07-2023
Publisher: Springer Berlin Heidelberg
Keywords: Aspiration
Foreign Body Aspiration
Foreign Body Aspiration
Dysphonia
Dysphonia
Dysphagia
Dysphagia
Flexible Endoscopic Evaluation of Swallowing
Flexible Endoscopic Evaluation of Swallowing
Dysphagia
Published in: European Archives of Oto-Rhino-Laryngology / Issue 11/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08127-1

2024 ASCO Annual Meeting

Springer Medicine

Evaluation of swallowing in children with higher grades glottic web

Abstract

Purpose

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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