Duration and extent of dysphagia following pediatric airway reconstruction

摘要: Summary Objective Patients who undergo open airway reconstruction procedures are likely to experience some degree of post-operative dysphagia. This retrospective review describes the duration dysphagia and use compensatory strategies in a group 30 pediatric patients. Methods A chart patients referred for swallowing assessment following during six-month period was completed. Age, sex, surgical procedure, stent type, co-morbid factors, dysphagia, dietary modifications summarized compared. Results Dysphagia generally short (1–5 days) undergoing single stage with anterior or anterior/posterior grafts. Duration difficulty increased posterior grafts combination T tubes (10–14 days). The longest (>2 weeks) occurred had grafting tubes, combined additional such as vocal fold lateralization, epiglottic petiole repositioning, and/or arytenoidectomy. There greater likelihood oral feeding post-operatively presenting pre-operative issues aversion specific texture refusal, pre-morbid need supplemental tube supplement intake. Compensatory were effective decreasing aspiration associated feeders post-operatively, facilitating return baseline skills. Conclusions overall conjunction in-dwelling especially when procedures. assist found be phase included modified supraglottic sequence closure diet modifications. Post-operative pre-existing resistance regardless reconstructive procedure type.