Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports

Article


Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter. 2017. "Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports." Disability and Rehabilitation. 39 (23), pp. 2452-2459. https://doi.org/10.1080/09638288.2016.1231848
Article Title

Dysphagia progression and feeding skills following pediatric alkali ingestion injury: two case reports

ERA Journal ID16035
Article CategoryArticle
AuthorsFollent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter
Journal TitleDisability and Rehabilitation
Journal Citation39 (23), pp. 2452-2459
Number of Pages8
Year2017
PublisherTaylor & Francis
Place of PublicationUnited Kingdom
ISSN0963-8288
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.

KeywordsCase report; caustic; pediatric; speech-language pathology; pediatric feeding; dysphagia
ANZSRC Field of Research 2020420110. Speech pathology
420109. Rehabilitation
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsUniversity of Queensland
Department of Health, Queensland
Boston Children's Hospital, United States
Permalink -

https://research.usq.edu.au/item/yy425/dysphagia-progression-and-feeding-skills-following-pediatric-alkali-ingestion-injury-two-case-reports

  • 14
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Artificial Intelligence in the Interpretation of Videofluoroscopic Swallow Studies: Implications and Advances for Speech–Language Pathologists
Girardi, Anna M., Cardell, Elizabeth A. and Bird, Stephen P.. 2023. "Artificial Intelligence in the Interpretation of Videofluoroscopic Swallow Studies: Implications and Advances for Speech–Language Pathologists ." Big Data and Cognitive Computing. 7 (4). https://doi.org/10.3390/bdcc7040178
'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy
Wall, Laurelie R., Cartmill, Bena, Ward, Elizabeth C., Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Chambers, Suzanne, Dunn, Jeff, Nixon, Jodie, Whelan, Jane and Porceddu, Sandro V.. 2016. "'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy." Oral Oncology. 54, pp. 47-53. https://doi.org/10.1016/j.oraloncology.2016.01.004
Dysphagia and feeding difficulties post-pediatric ingestion injury: Perspectives of the primary caregiver
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Marshall, Jeanne, Dodrill, Pamela and Lewindonc, Peter. 2017. "Dysphagia and feeding difficulties post-pediatric ingestion injury: Perspectives of the primary caregiver." International Journal of Pediatric Otorhinolaryngology. 103, pp. 20-28. https://doi.org/10.1016/j.ijporl.2017.09.013
Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Lewindonc, Peter. 2017. "Speech-language Pathology in Acute Pediatric Chemical or Button Battery Ingestion Injury ." Journal of Pediatric Gastroenterology and Nutrition. 64 (1), pp. 42-46. https://doi.org/10.1097/MPG.0000000000001256
Speech-language pathology services in Australian and New Zealand pediatric burn units and chemical ingestion injury
Follent, Anna M., Rumbach, Anna F., Ward, Elizabeth C., Dodrill, Pamela and Clayton, Nicola A.. 2015. "Speech-language pathology services in Australian and New Zealand pediatric burn units and chemical ingestion injury." Speech, Language and Hearing. 18 (2), pp. 116-124. https://doi.org/10.1179/2050572814Y.0000000057
Voice movement therapy: evaluation of a group-based expressive arts therapy for nonsuicidal self-injury in young adults
Martin, Sophie, Martin, Graham, Lequertier, Belinda, Swannell, Sarah, Follent, Anna and Choe, Florence. 2013. "Voice movement therapy: evaluation of a group-based expressive arts therapy for nonsuicidal self-injury in young adults." Music and Medicine. 5, pp. 31-38. https://doi.org/10.1177/1943862112467649
Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates
Lyvers, Michael, Czerczyk, Cameron, Follent, Anna and Lodge, Phoebe. 2009. "Disinhibition and reward sensitivity in relation to alcohol consumption by university undergraduates." Addiction Research and Theory. 17 (6), pp. 668-677. https://doi.org/10.3109/16066350802404158
Exploring the culture of non-reporting in the perioperative environment
Marshall, J. and Osborne, Sonya. 2007. "Exploring the culture of non-reporting in the perioperative environment." ACORN: the journal of perioperative nursing in Australia. 20 (2), pp. 10-21.