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Yenidoğan Döneminde Yutma Bozukluklarının Değerlendirilmesi ve Tedavisi

Year 2021, Volume: 7 Issue: 1, 18 - 26, 01.01.2021

Abstract

Yenidoğan döneminde emme ve yutma bozuklukları sıkça karşımıza çıkmaktadır. Bu bozukluklar havayolu aspirasyonu, pnömoni, dehidratasyon ve malnütrisyon gibi birçok ciddi komplikasyona yol açabilmektedir. Aynı zamanda emme ve yutma bozuklukları beslenme ile ilgili kısıtlanmalar sebebi ile fiziksel ve gelişimsel problemlerin yanı sıra ebeveyn açısından kaygı, stres ve sosyal izolasyona sebep olabilmekte, ebeveyn ile bebek iletişimini olumsuz yönde etkilemektedir. Bu nedenle yenidoğan döneminde emme ve yutma bozukluğu riski taşıyan bebeklerin erken dönemde belirlenmesi; komplikasyonların önlenmesi ve uygun tedavi programının planlanması açısından oldukça önemlidir

References

  • Goldfield EC, Perez J, Engstler K. Neonatal feeding behavior as a complex dynamical system. Semin Speech Lang 2017; 38(2):77-86.
  • Park J, Thoyre SM, Pados BF, Gregas M. Symptoms of feeding problems in preterm-born children at 6 months to 7 years old. J Pediatr Gastroenterol Nutr 2019; 68(3):416-21.
  • Delaney AL, Arvedson JC. Development of swallowing and feeding: Prenatal through first year of life. Dev Disabil Res Rev 2008; 14(2):105-17.
  • Moore KL, Persaud RVN. The Developing Human: Clinically Oriented Embryology, 7th ed. Philadelphia: Saunders, 2003.
  • Lau C, Schanler RJ. Oral motor function in the neonate. Clin Perinatol 1996; 23(2):161-78.
  • Lau C, Sheena HR, Shulman RJ, Schanler RJ. Oral feeding in low birth weight infants. J Pediatr 1997; 130(4):561-9.
  • Matsou K, Palmer JB. Anatomy and physiology of feeding and swallowing: Normal and abnormal. Phys Med Rehabil Clin N Am 2008; 19(4):691-707.
  • Prakash M, Johnny JC. Whats special in a child’s larynx? J Pharm Bioallied Sci 2015; 7 Suppl 1:55-8.
  • Byant-Waugh R, Markham L, Kreipe RE, Walsh BT. Feeding and eating disorders in childhood. Int J Eat Disord 2010; 43:98-111.
  • Manikam R, Perman JA. Pediatric feeding disorders. J Clin Gastroenterol 2000; 30(1):34-46.
  • Pados BF, Hill R. Parents’ descriptions of feeding their young infants. Nurs Womens Health 2019; 23(5):404-13.
  • Uhm KE, Yi SH, Chang HJ, Cheon HJ, Kwon JY. Videofluoroscopic swallowing study findings in full-term and preterm infants with Dysphagia. Ann Rehabil Med 2013; 37(2):175-82.
  • Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr (Phila) 2009; 48(3):247-51.
  • Logemann JA. Evaluation and treatment of swallowing disorders. Austin, TX: Pro-Ed, 1998.
  • McComish C, Brackett K, Kelly M, Hall C, Wallace S, Powell V. Interdisciplinary feeding team: A medical, motor, behavioral approach to complex pediatric feeding problems. MCN Am J Matern Child Nurs 2016; 41(4):230-6.
  • Jadcherla S. Dysphagia in the high-risk infant: Potential factors and mechanisms. Am J Clin Nutr 2016; 103(2):622- 8.
  • Jadcherla SR, Dail J, Malkar MB, McClead R, Kelleher K, Nelin L. Impact of process optimization and quality improvement measures on neonatal feeding outcomes at an all-referral neonatal intensive care unit. JPEN J Parenter Enteral Nutr 2016; 40(5):646-55. promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev 2005; 19(4):CD001071.
  • Neiva FC, Leone CR, Leone C, Siqueira LL, Uema KA, Evangelista D, Delgado S, Rocha A, Buhler KB. Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding: A multicenter study. Clinics (Sao Paulo) 2014; 69(6):393-7.
  • Lau C, Kusnierczyk I. Quantitative evaluation of infant’s nonnutritive and nutritive sucking. Dysphagia 2001; 16(1):58-67.
  • Pados BF, Park J, Estrem H, Awotwi A. Assessment tools for evaluation of oral feeding in infants younger than 6 months. Adv Neonatal Care 2016; 16(2):143-50.
  • Yenal K, Okumuş H. Reliability of LATCH breastfeeding assesment tool. Journal of Research and Development in Nursing (in Turkish) 2003; 5(1):38-44.
  • Çelik N. Emzirme değerlendirme ölçeği’nin (the infant breastfeeding assesment tool) Türkçe geçerlik ve güvenirliğinin incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Kadın Hastalıkları ve Doğum Hemşireliği Anabilim Dalı, Yayınlanmamış Yüksek Lisans Tezi, Manisa, 2008.
  • Tokat MA, Okumuş H, Dennis CL. Translation and psychometric assessment of the breast-feeding self-efficacy scale-short form among pregnant and postnatal women in Turkey. Midwifery 2010; 26(1):101-8.
  • Karayağız Muslu G, Basbakkal Z, Janke J. The Turkish version of the breastfeeding attrition prediction tool. J Hum Lact 2011; 27(4):350-7.
  • Dolgun G, İnal S, Erdim L, Korkut S. Reliability and validity of the Bristol Breastfeeding Assessment Tool in the Turkish population. Midwifery 2018; 57:47-53.
  • Willette S, Molinaro LH, Thompson DM, Schroeder JW Jr. Fiberoptic examination of swallowing in the breastfeeding infant. Laryngoscope 2016; 126(7):1681-6.
  • Hernandez AM, Bianchini EMG. Swallowing analyses of neonates and infants in breastfeeding and bottle-feeding: Impact on videofluoroscopy swallow studies. Int Arch Otorhinolaryngol 2019; 23(3):343-53.
  • McGrattan KE, McGhee HC, McKelvey KL, Clemmens CS, Hill EG, DeToma A, Hill JG, Simmons CE, Martin- Harris B. Capturing infant swallow impairment on videofluoroscopy: Timing matters. Pediatr Radiol 2020; 50(2):199-206.
  • Reynolds J, Carroll S, Sturdivant C. Fiberoptic endoscopic evaluation of swallowing: A multidisciplinary alternative for assessment of infants with dysphagia in the neonatal intensive care unit. Adv Neonatal Care 2016; 16(1):37-43.
  • van den Engel-Hoek L, Harding C, van Gerven M, Cockerill H. Pediatric feeding and swallowing rehabilitation: An overview. J Pediatr Rehabil Med 2017; 10(2):95-105.
  • Adams RA, Gordon C, Spangler AA. Maternal stress in caring for children with feeding disabilities: Implications for health care providers. J Am Diet Assoc 1999; 99(8):962- 6.
  • Otto DM, Almeida ST. Oral feeding performance in premature infants stimulated by swallowing technical training. Audiol Commun Res 2017; 22:e1717.
  • Faherty AS. Assessment and management considerations for oral feeding of the premature infant on the neonatal intensive care unit. Perspectives on Swallowing and Swallowing Disorders 2006; 15(3):3-9.
  • Hadfield PJ, Lloyd-Faulconbridge RV, Almeyda J, Albert DM, Bailey CM. The changing indication for paediatric tracheostomy. Int J Pediatr Otorhinolaryngol 2003; 67(7):7-10.
  • Abraham SS, Wolf EL. Swallowing physiology of toddlers with long-term tracheostomies: A preliminary study. Dysphagia 2000; 15(4):206-12.
  • Norman V, Louw B, Kritzinger A. Incidence and description of dysphagia in infants and toddlers with tracheostomies: A retrospective review. Int J Pediatr Otorhinolaryngol 2007; 71(7):1087-92.
  • Leder SB, Baker KE, Goodman TR. Dysphagia testing and aspiration status in medically stable infants requiring mechanical ventilation via tracheotomy. Pediatr Crit Care Med 2010; 11(4):484-7.
  • Azimi Jahed N, Borimnejad L, Haghani H. Effect of body position on physiological alteration while feeding infants: A systematic review. JCCNC 2017; 3(2):119-24.
  • Avital A, Donchin M, Springer C, Cohen S, Danino E. Feeding young infants with their head in upright position reduces respiratory and ear morbidity. Sci Rep 2018; 8(1):6588.
  • Park J, Pados BF, Thoyre SM. Systematic review: What is the evidence for the side-lying position for feeding preterm infants? Adv Neonatal Care 2018; 18(4):285-94.
  • Boiron M, Nobrega L, Roux S, Henrot A, Saliba E. Effects of oral stimulation and oral support on nonnutritive sucking and feeding performance in preterm infants. Dev Med Child Neurol 2007; 49:439-44.
  • Hill AS, Kurkowski TB, Garcia J. Oral support measures used in feeding the preterm infant. Nurs Res 2000; 49:2- 10. promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev 2001; (3):CD001071.
  • Goldfield EC, Richardson MJ, Lee KG, Margetts S. Coordination of sucking, swallowing, and breathing and oxygen saturation during early infant breast-feeding and bottle-feeding. Pediatr Res 2006; 60(4):450-5.
  • Shaker CS. Cue-based feeding in the NICU: Using the infant’s communication as a guide. Neonatal Netw 2013; 32(6):404-8.
  • Shaker CS. Nipple feeding preterm infants: An individualized, developmentally supportive approach. Neonatal Netw 1999; 18(3):15-22.
  • Chang YJ, Lin CP, Lin YJ, Lin CH. Effects of single- hole and cross-cut nipple units on feeding efficiency and physiological parameters in premature infants. J Nurs Res 2007; 15(3):215-23.
  • Goldfield EC, Smith V, Buonomo C, Perez J, Larson K. Preterm infant swallowing of thin and nectarthick liquids: Changes in lingual-palatal coordination and relation to bolus transit. Dysphagia 2013; 28:234-44.
  • Orenstein SR, Magill HL, Brooks P. Thickening of infant feedings for therapy of gastroesophageal reflux. J Pediatr 1987; 110:181-6.
  • de Almeida MB, de Almeida JA, Moreira ME, Novak FR. Adequacy of human milk viscosity to respond to infants with dysphagia: Experimental study. J Appl Oral Sci 2011; 19:554-9.
  • September C, Nicholson TM, Cichero JA. Implications of changing the amount of thickener in thickened infant formula for infants with dysphagia. Dysphagia 2014; 29:432-7.
  • Hanson B, O’Leary MT, Smith CH. The effect of saliva on the viscosity of thickened drinks. Dysphagia 2012; 27:10-9.
  • Beal J, Silverman B, Bellant J, Young TE, Klontz K. Late onset necrotizing enterocolitis in infants following use of a xanthan gum-containing thickening agent. J Pediatr 2012; 161:354-6.
  • Cichero J, Lam P. Thickened liquids for children and adults with oropharyngeal dysphagia: The complexity of rheological considerations. J Gastroenterol Hepatol Res 2014; 3:1073-9.
  • Stokes JR, Boehm MW, Baier SK. Oral processing, texture and mouthfeel: From rheology to tribology and beyond. Curr Opin Colloid Interface Sci 2013; 18:349- 59.
  • McCallum S. Addressing nutrient density in the context of the use of thickened liquids in dysphagia treatment. ICAN: Infant Child Adolesc Nutr 2011; 3:351-60.
  • Mascarenhas R, Landry L, Khoshoo V. Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal. Clin Pediatr 2005; 44:671-3.
  • Horvath A, Dziechciarz P, Szajewska H. The effect of thickened-feed interventions on gastroesophageal reflux in infants: Systematic review and meta-analysis of randomized, controlled trials. Pediatrics 2008; 122(6):1268-77.

Evaluation and Treatment of Swallowing Disorders in the Neonatal Period

Year 2021, Volume: 7 Issue: 1, 18 - 26, 01.01.2021

Abstract

Sucking and swallowing disorders are frequently encountered in the neonatal period. These disorders can lead to many serious complications such as airway aspiration, pneumonia, dehydration, and malnutrition. At the same time, sucking and swallowing disorders can cause anxiety, stress, and social isolation for parents and negatively affect the interaction between the baby and parents besides physical and developmental problems due to nutritional restrictions. Therefore, early detection of babies at risk of sucking and swallowing disorders is very important to prevent complications and plan the appropriate treatment program

References

  • Goldfield EC, Perez J, Engstler K. Neonatal feeding behavior as a complex dynamical system. Semin Speech Lang 2017; 38(2):77-86.
  • Park J, Thoyre SM, Pados BF, Gregas M. Symptoms of feeding problems in preterm-born children at 6 months to 7 years old. J Pediatr Gastroenterol Nutr 2019; 68(3):416-21.
  • Delaney AL, Arvedson JC. Development of swallowing and feeding: Prenatal through first year of life. Dev Disabil Res Rev 2008; 14(2):105-17.
  • Moore KL, Persaud RVN. The Developing Human: Clinically Oriented Embryology, 7th ed. Philadelphia: Saunders, 2003.
  • Lau C, Schanler RJ. Oral motor function in the neonate. Clin Perinatol 1996; 23(2):161-78.
  • Lau C, Sheena HR, Shulman RJ, Schanler RJ. Oral feeding in low birth weight infants. J Pediatr 1997; 130(4):561-9.
  • Matsou K, Palmer JB. Anatomy and physiology of feeding and swallowing: Normal and abnormal. Phys Med Rehabil Clin N Am 2008; 19(4):691-707.
  • Prakash M, Johnny JC. Whats special in a child’s larynx? J Pharm Bioallied Sci 2015; 7 Suppl 1:55-8.
  • Byant-Waugh R, Markham L, Kreipe RE, Walsh BT. Feeding and eating disorders in childhood. Int J Eat Disord 2010; 43:98-111.
  • Manikam R, Perman JA. Pediatric feeding disorders. J Clin Gastroenterol 2000; 30(1):34-46.
  • Pados BF, Hill R. Parents’ descriptions of feeding their young infants. Nurs Womens Health 2019; 23(5):404-13.
  • Uhm KE, Yi SH, Chang HJ, Cheon HJ, Kwon JY. Videofluoroscopic swallowing study findings in full-term and preterm infants with Dysphagia. Ann Rehabil Med 2013; 37(2):175-82.
  • Prasse JE, Kikano GE. An overview of pediatric dysphagia. Clin Pediatr (Phila) 2009; 48(3):247-51.
  • Logemann JA. Evaluation and treatment of swallowing disorders. Austin, TX: Pro-Ed, 1998.
  • McComish C, Brackett K, Kelly M, Hall C, Wallace S, Powell V. Interdisciplinary feeding team: A medical, motor, behavioral approach to complex pediatric feeding problems. MCN Am J Matern Child Nurs 2016; 41(4):230-6.
  • Jadcherla S. Dysphagia in the high-risk infant: Potential factors and mechanisms. Am J Clin Nutr 2016; 103(2):622- 8.
  • Jadcherla SR, Dail J, Malkar MB, McClead R, Kelleher K, Nelin L. Impact of process optimization and quality improvement measures on neonatal feeding outcomes at an all-referral neonatal intensive care unit. JPEN J Parenter Enteral Nutr 2016; 40(5):646-55. promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev 2005; 19(4):CD001071.
  • Neiva FC, Leone CR, Leone C, Siqueira LL, Uema KA, Evangelista D, Delgado S, Rocha A, Buhler KB. Non-nutritive sucking evaluation in preterm newborns and the start of oral feeding: A multicenter study. Clinics (Sao Paulo) 2014; 69(6):393-7.
  • Lau C, Kusnierczyk I. Quantitative evaluation of infant’s nonnutritive and nutritive sucking. Dysphagia 2001; 16(1):58-67.
  • Pados BF, Park J, Estrem H, Awotwi A. Assessment tools for evaluation of oral feeding in infants younger than 6 months. Adv Neonatal Care 2016; 16(2):143-50.
  • Yenal K, Okumuş H. Reliability of LATCH breastfeeding assesment tool. Journal of Research and Development in Nursing (in Turkish) 2003; 5(1):38-44.
  • Çelik N. Emzirme değerlendirme ölçeği’nin (the infant breastfeeding assesment tool) Türkçe geçerlik ve güvenirliğinin incelenmesi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Kadın Hastalıkları ve Doğum Hemşireliği Anabilim Dalı, Yayınlanmamış Yüksek Lisans Tezi, Manisa, 2008.
  • Tokat MA, Okumuş H, Dennis CL. Translation and psychometric assessment of the breast-feeding self-efficacy scale-short form among pregnant and postnatal women in Turkey. Midwifery 2010; 26(1):101-8.
  • Karayağız Muslu G, Basbakkal Z, Janke J. The Turkish version of the breastfeeding attrition prediction tool. J Hum Lact 2011; 27(4):350-7.
  • Dolgun G, İnal S, Erdim L, Korkut S. Reliability and validity of the Bristol Breastfeeding Assessment Tool in the Turkish population. Midwifery 2018; 57:47-53.
  • Willette S, Molinaro LH, Thompson DM, Schroeder JW Jr. Fiberoptic examination of swallowing in the breastfeeding infant. Laryngoscope 2016; 126(7):1681-6.
  • Hernandez AM, Bianchini EMG. Swallowing analyses of neonates and infants in breastfeeding and bottle-feeding: Impact on videofluoroscopy swallow studies. Int Arch Otorhinolaryngol 2019; 23(3):343-53.
  • McGrattan KE, McGhee HC, McKelvey KL, Clemmens CS, Hill EG, DeToma A, Hill JG, Simmons CE, Martin- Harris B. Capturing infant swallow impairment on videofluoroscopy: Timing matters. Pediatr Radiol 2020; 50(2):199-206.
  • Reynolds J, Carroll S, Sturdivant C. Fiberoptic endoscopic evaluation of swallowing: A multidisciplinary alternative for assessment of infants with dysphagia in the neonatal intensive care unit. Adv Neonatal Care 2016; 16(1):37-43.
  • van den Engel-Hoek L, Harding C, van Gerven M, Cockerill H. Pediatric feeding and swallowing rehabilitation: An overview. J Pediatr Rehabil Med 2017; 10(2):95-105.
  • Adams RA, Gordon C, Spangler AA. Maternal stress in caring for children with feeding disabilities: Implications for health care providers. J Am Diet Assoc 1999; 99(8):962- 6.
  • Otto DM, Almeida ST. Oral feeding performance in premature infants stimulated by swallowing technical training. Audiol Commun Res 2017; 22:e1717.
  • Faherty AS. Assessment and management considerations for oral feeding of the premature infant on the neonatal intensive care unit. Perspectives on Swallowing and Swallowing Disorders 2006; 15(3):3-9.
  • Hadfield PJ, Lloyd-Faulconbridge RV, Almeyda J, Albert DM, Bailey CM. The changing indication for paediatric tracheostomy. Int J Pediatr Otorhinolaryngol 2003; 67(7):7-10.
  • Abraham SS, Wolf EL. Swallowing physiology of toddlers with long-term tracheostomies: A preliminary study. Dysphagia 2000; 15(4):206-12.
  • Norman V, Louw B, Kritzinger A. Incidence and description of dysphagia in infants and toddlers with tracheostomies: A retrospective review. Int J Pediatr Otorhinolaryngol 2007; 71(7):1087-92.
  • Leder SB, Baker KE, Goodman TR. Dysphagia testing and aspiration status in medically stable infants requiring mechanical ventilation via tracheotomy. Pediatr Crit Care Med 2010; 11(4):484-7.
  • Azimi Jahed N, Borimnejad L, Haghani H. Effect of body position on physiological alteration while feeding infants: A systematic review. JCCNC 2017; 3(2):119-24.
  • Avital A, Donchin M, Springer C, Cohen S, Danino E. Feeding young infants with their head in upright position reduces respiratory and ear morbidity. Sci Rep 2018; 8(1):6588.
  • Park J, Pados BF, Thoyre SM. Systematic review: What is the evidence for the side-lying position for feeding preterm infants? Adv Neonatal Care 2018; 18(4):285-94.
  • Boiron M, Nobrega L, Roux S, Henrot A, Saliba E. Effects of oral stimulation and oral support on nonnutritive sucking and feeding performance in preterm infants. Dev Med Child Neurol 2007; 49:439-44.
  • Hill AS, Kurkowski TB, Garcia J. Oral support measures used in feeding the preterm infant. Nurs Res 2000; 49:2- 10. promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev 2001; (3):CD001071.
  • Goldfield EC, Richardson MJ, Lee KG, Margetts S. Coordination of sucking, swallowing, and breathing and oxygen saturation during early infant breast-feeding and bottle-feeding. Pediatr Res 2006; 60(4):450-5.
  • Shaker CS. Cue-based feeding in the NICU: Using the infant’s communication as a guide. Neonatal Netw 2013; 32(6):404-8.
  • Shaker CS. Nipple feeding preterm infants: An individualized, developmentally supportive approach. Neonatal Netw 1999; 18(3):15-22.
  • Chang YJ, Lin CP, Lin YJ, Lin CH. Effects of single- hole and cross-cut nipple units on feeding efficiency and physiological parameters in premature infants. J Nurs Res 2007; 15(3):215-23.
  • Goldfield EC, Smith V, Buonomo C, Perez J, Larson K. Preterm infant swallowing of thin and nectarthick liquids: Changes in lingual-palatal coordination and relation to bolus transit. Dysphagia 2013; 28:234-44.
  • Orenstein SR, Magill HL, Brooks P. Thickening of infant feedings for therapy of gastroesophageal reflux. J Pediatr 1987; 110:181-6.
  • de Almeida MB, de Almeida JA, Moreira ME, Novak FR. Adequacy of human milk viscosity to respond to infants with dysphagia: Experimental study. J Appl Oral Sci 2011; 19:554-9.
  • September C, Nicholson TM, Cichero JA. Implications of changing the amount of thickener in thickened infant formula for infants with dysphagia. Dysphagia 2014; 29:432-7.
  • Hanson B, O’Leary MT, Smith CH. The effect of saliva on the viscosity of thickened drinks. Dysphagia 2012; 27:10-9.
  • Beal J, Silverman B, Bellant J, Young TE, Klontz K. Late onset necrotizing enterocolitis in infants following use of a xanthan gum-containing thickening agent. J Pediatr 2012; 161:354-6.
  • Cichero J, Lam P. Thickened liquids for children and adults with oropharyngeal dysphagia: The complexity of rheological considerations. J Gastroenterol Hepatol Res 2014; 3:1073-9.
  • Stokes JR, Boehm MW, Baier SK. Oral processing, texture and mouthfeel: From rheology to tribology and beyond. Curr Opin Colloid Interface Sci 2013; 18:349- 59.
  • McCallum S. Addressing nutrient density in the context of the use of thickened liquids in dysphagia treatment. ICAN: Infant Child Adolesc Nutr 2011; 3:351-60.
  • Mascarenhas R, Landry L, Khoshoo V. Difficulty in defecation in infants with gastroesophageal reflux treated with smaller volume feeds thickened with rice cereal. Clin Pediatr 2005; 44:671-3.
  • Horvath A, Dziechciarz P, Szajewska H. The effect of thickened-feed interventions on gastroesophageal reflux in infants: Systematic review and meta-analysis of randomized, controlled trials. Pediatrics 2008; 122(6):1268-77.
There are 57 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Selen Serel Arslan This is me

Publication Date January 1, 2021
Published in Issue Year 2021 Volume: 7 Issue: 1

Cite

Vancouver Serel Arslan S. Yenidoğan Döneminde Yutma Bozukluklarının Değerlendirilmesi ve Tedavisi. Akd Med J. 2021;7(1):18-26.