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Rehabilitation Practice and Science

Translated Title

小兒吞嚥障礙之評估－第二部分

Abstract

The characteristics of pediatric swallowing, anatomical differences between pediatrics and adults, and swallowing problems in common pediatric diseases had been introduced in Part 1 of the article. The common methods for evaluation of pediatric swallowing are discussed in this part. The evaluation of swallowing function in pediatric patients is a great clinical challenge. It requires a team approach, an integration of multiple disciplines, and instrumental evaluations for establishing a diagnosis and developing an appropriate management plan. This article provides an introduction of the vital concept of clinical bedside evaluation and instrumental evaluation including the videofluoroscopic swallow study (VFSS), fibroptic endoscopic evaluations of swallowing (FEES), oximetry, and ultrasonography. The clinical applications, advantages, and limitations of these techniques are discussed. The imaging techniques and related anatomy of ultrasonographic evaluation of swallowing have been described in detail. Ultrasonography is an ideal tool for observing the soft tissues including the tongue and mouth floor muscles, and it has been implemented in assessing the suckling movements of infants. More research is needed to define the role of ultrasonography in evaluating the swallowing function in pediatric patients.

Language

English

First Page

163

Last Page

171

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