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Gen
versión impresa ISSN 0016-3503versión On-line ISSN 2477-975X
Resumen
GARCIA, G et al. Videodeglutoscopia en la evaluación y manejo de trastorno deglutorio en niños. Gen [online]. 2011, vol.65, n.1, pp.14-17. ISSN 0016-3503.
Swallowing is one of the instinctive actions of the child at birth, includes a complex mechanism, which requires adequate sequence and good coordination with the processes of sucking and breathing. Alteration of swallowing, organic or functional, may result in malnutrition, dehydration, aspiration pneumonia and otopatía among others. We present three patients referred for evaluation by feeding difficulty or dysphagia. Case 1: Infant child, male, 11 months of age with refractory epilepsy and dysphagia for liquid and solid foods. Case 2: Preschool male, 2 years with epileptic encephalopathy, Global Developmental Delay, and difficulty breathing with food. Case 3: Infant child, male, 2 months, was admitted in neonatal therapy and graduated with a weak suction feeding difficulty. Videodeglutoscopia is performed as part of exploratory studies, the diagnosis is made in the first case, oral and pharyngeal altered with severe dysphagia, and gastrostomy is indicated in the latter case, dysphagia, oral and pharyngeal moderate severe, with better tolerability soft food or lubricated, states modify food consistency, measures of posture and swallow-ing therapy, the third case, oral disorder severe laryngeal aspiration, and swallowing therapy is indicated for formula milk thickener and water. The videodeglutoscopia is a diagnostic technique that allows studying the physiology of swallowing, to estimate the risk of aspiration and guidance on the safest way to feed the patient, especially in patients with neurological diseases.
Palabras clave : videodeglutoscopia; swallowing disorders; dysphagia; eating disorders; neurological disorders.