Aspiration and Dysphagia in the Neonatal Patient

Clin Perinatol. 2018 Dec;45(4):645-660. doi: 10.1016/j.clp.2018.07.005. Epub 2018 Sep 18.

Abstract

Dysphagia and aspiration are commonly encountered problems in the neonatal population. It is often multifactorial in nature and management should be tailored to the individual patient. Multiple causes should be considered, including anatomic abnormalities, neurologic/developmental delay, cardiopulmonary disease/infection, and gastroesophageal reflux disease, in addition to those cases where a definitive reason may not be identified. Management should be multidisciplinary in nature and surgical intervention may be indicated in certain populations of patients. Here, we discuss the presentation, workup, and management of the neonatal patient with dysphagia and aspiration.

Keywords: Aerodigestive; Aspiration; Dysphagia; Failure to thrive; Feeding difficulty; Neonate.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy
  • Deglutition Disorders / congenital
  • Deglutition Disorders / diagnosis*
  • Deglutition Disorders / therapy*
  • Disease Management
  • Female
  • Gastroesophageal Reflux / complications
  • Gastroesophageal Reflux / congenital
  • Humans
  • Infant, Newborn
  • Male
  • Oropharynx / abnormalities
  • Patient Care Team / organization & administration
  • Pneumonia, Aspiration / congenital
  • Pneumonia, Aspiration / diagnosis*
  • Pneumonia, Aspiration / therapy*
  • Prognosis
  • Severity of Illness Index