Videofluoroscopy in children

Czech version

Authors: PaedDr. Bunová Barbora, PhD.
Authors‘ workplace: Ambulancia klinickej logopédie, Koreszkova 7, 909 01 Skalica, Slovenská republika
Published in: Listy klinické logopedie 2018; 2(2): 68-76
Category: Miscellaneous

Overview

Dysphagia, or swallowing and feeding impairment, can occur in children from the earliest age. The etiology of these impairments is multifactorial. The incidence and prevalence of feeding and swallowing disorders in children is increasing. This is assumed to be caused by the progress in health care (e.g. the ability to save extremely premature children with a potentially higher risk of health complications in the future). The impact of dysphagia on children can be devastating from the point of view of their future development. That is why early assessment and teamwork of specialists in paediatric dysphagia, with the irreplaceable role of a SLT, is crucial. The objective of this article is to provide information on videofluoroscopic swallow study as one of the objective imaging techniques used to detect dysphagia in children.

Methodology

Videofluoroscopy in children is indicated by a medical doctor or a specifically trained speech and language therapist. The swallow study is preceded by asking in detail about family history and by a clinical examination. The indications for a clinical examination are: coughing during meal/feeding, wet or gurgly voice during and/or after meal, repeated lower respiratory tract infections and changes in vital functions during feeding (e.g. shortness of breath to apnoea, skin colour change).

Conclusion

Swallowing and feeding disorders in children are connected with long-term health consequences and can influence delays in overall psychomotor development of the child, including speech and language system development. Their early detection and subsequent “therapy” require inter- or multidisciplinary cooperation of medical and paramedical experts. These teams should be led by a speech and language therapist adequately skilled in the domain.

Keywords:

dysphagia – feeding and swallowing disorders – videofluoroscopic swallow study (VFSS) – speech and language therapist

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