Treatment Approaches for Swallowing Disorders in Children

Curr Pediatr Rev. 2023;19(3):223-233. doi: 10.2174/1573396318666220822152843.

Abstract

A swallowing disorder or dysphagia is defined as a disorder in the sequence of swallowing, during the oral or pharyngeal phase, which compromises the safety and/or efficiency of transit of the food bolus to the esophagus. The evaluation of neurodevelopment, nutrition, and preventive medicine actions are as important as the clinical evaluation of dysphagia, so they must be included and systematized in all pediatric evaluations; This evaluation can be divided into different parts: bedside swallowing evaluation, instrumental swallowing evaluation, and additional studies. The management of swallowing disorders requires a multidisciplinary team approach, depending on the child's age, cognitive and physical abilities, and the specific swallowing and feeding disorder, ensuring adequate and safe nutrition and improving the patient's quality of life.

Keywords: Deglutition disorders; dysphagia; enteral nutrition; feeding; feeding tube; respiratory aspiration; suction; swallowing disorder.

MeSH terms

  • Child
  • Deglutition
  • Deglutition Disorders* / diagnosis
  • Deglutition Disorders* / therapy
  • Humans
  • Quality of Life