Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports
Article
Article Title | Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports |
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ERA Journal ID | 16035 |
Article Category | Article |
Authors | Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter |
Journal Title | Disability and Rehabilitation |
Journal Citation | 39 (23), pp. 2452-2459 |
Number of Pages | 8 |
Year | 2017 |
Publisher | Taylor & Francis |
Place of Publication | United Kingdom |
ISSN | 0963-8288 |
1464-5165 | |
Digital Object Identifier (DOI) | https://doi.org/10.1080/09638288.2016.1231848 |
Web Address (URL) | https://www.tandfonline.com/doi/full/10.1080/09638288.2016.1231848 |
Abstract | Purpose: There is limited information regarding the nature of dysphagia and feeding difficulties following alkali ingestion injury to inform multidisciplinary intervention. The aim was to describe the history and nature of chronic dysphagia and feeding difficulties in two children following severe alkali ingestion injury. Methods: Medical records, primary caregiver report, and clinical assessment were used to compile detailed case histories and assess current dysphagia and feeding skills. Results: Both cases demonstrated heterogeneous oral motor and feeding outcomes, including delayed oral motor skills, restricted dietary variety, and difficult mealtime behaviors that contributed to protracted recovery of age-appropriate PO intake. Both children required ongoing diet and/or fluid modification and supplemental non-PO feeding via gastrostomy at the time of review, that is, 2-year post-injury. Conclusions: Recovery from dysphagia post-alkali ingestion is protracted and complex. Dysphagia, delayed oral motor skills, and difficult mealtime behaviors may persist secondary to ingestion injury and its associated complications. These cases highlight the importance of considering early referral for feeding assessment and intervention to assist children and families with recovery. Progression through safe and effective oral (per os, PO) intake is needed, as well as provision of support for primary caregivers. |
Keywords | Case report; caustic; pediatric; speech-language pathology; pediatric feeding; dysphagia |
ANZSRC Field of Research 2020 | 420110. Speech pathology |
420109. Rehabilitation | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | University of Queensland |
Department of Health, Queensland | |
Boston Children's Hospital, United States |
https://research.usq.edu.au/item/yy425/dysphagia-progression-and-feeding-skills-following-pediatric-alkali-ingestion-injury-two-case-reports
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