Raol Nikhila, Schrepfer Thomas, Hartnick Christopher
Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, 2015 Uppergate Drive, Atlanta, GA 30322, USA; Division of Pediatric Otolaryngology, Children's Healthcare of Atlanta, 2015 Uppergate Drive, Atlanta, GA 30322, USA.
Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, 2015 Uppergate Drive, Atlanta, GA 30322, USA; Division of Pediatric Otolaryngology, Children's Healthcare of Atlanta, 2015 Uppergate Drive, Atlanta, GA 30322, USA.
Clin Perinatol. 2018 Dec;45(4):645-660. doi: 10.1016/j.clp.2018.07.005. Epub 2018 Sep 18.
Dysphagia and aspiration are commonly encountered problems in the neonatal population. It is often multifactorial in nature and management should be tailored to the individual patient. Multiple causes should be considered, including anatomic abnormalities, neurologic/developmental delay, cardiopulmonary disease/infection, and gastroesophageal reflux disease, in addition to those cases where a definitive reason may not be identified. Management should be multidisciplinary in nature and surgical intervention may be indicated in certain populations of patients. Here, we discuss the presentation, workup, and management of the neonatal patient with dysphagia and aspiration.
吞咽困难和误吸是新生儿群体中常见的问题。其病因通常是多因素的,治疗应根据个体患者进行调整。除了那些可能无法确定明确病因的病例外,还应考虑多种病因,包括解剖学异常、神经/发育迟缓、心肺疾病/感染以及胃食管反流病。治疗应具有多学科性质,某些患者群体可能需要手术干预。在此,我们讨论新生儿吞咽困难和误吸患者的临床表现、检查及治疗。