Hörmann M, Pokieser P, Scharitzer M, Pumberger W, Memarsadeghi M, Partik B, Ekberg O
Department of Radiology, University Hospital, Vienna, Austria.
Acta Radiol. 2002 Sep;43(5):507-10.
To evaluate the functional disorders of the oral and pharyngeal phases of deglutition after repair of esophageal atresia in children.
19 children (10 girls, 9 boys, mean age 22 months) underwent videofluoroscopy of deglutition after repair of esophageal atresia. The videofluoroscopic studies were assessed according to functional and morphological changes in the oral, pharyngeal and esophageal phases. The persistence of radiologic findings on videofluoroscopy was determined.
The oral phase was normal in all patients. The main functional disorder of the pharyngeal phase was aspiration in 7 (37%) children. A completely normal deglutition in the pharyngeal and esophageal phases was not seen in any patient.
Videofluoroscopy after repair of esophageal atresia is helpful in differentiation of functional and morphological disorders that can lead to prandial aspiration and have an influence on the decision about continued therapy.
评估儿童食管闭锁修复术后吞咽的口腔期和咽期功能障碍。
19例儿童（10例女孩，9例男孩，平均年龄22个月）在食管闭锁修复术后接受了吞咽视频荧光透视检查。根据口腔、咽和食管期的功能及形态变化对视频荧光透视检查结果进行评估。确定视频荧光透视检查中放射学表现的持续情况。
所有患者的口腔期均正常。咽期的主要功能障碍是7例（37%）儿童出现误吸。任何患者均未出现咽期和食管期完全正常的吞咽情况。
食管闭锁修复术后的视频荧光透视检查有助于区分可能导致进餐时误吸并影响继续治疗决策的功能和形态障碍。
