Breathing–swallow dysfunction in COPD : How silent aspiration may be contributing to exacerbations

Respirology ◽  
2021 ◽  
Author(s):  
Lydia Cvejic ◽  
Philip G. Bardin
Keyword(s):  
Silent Aspiration

Food for Thought on Pediatric Feeding and Swallowing

2008 ◽  
Vol 17 (3) ◽  
pp. 110-118 ◽  
Author(s):  
Joan C. Arvedson
Keyword(s):  
Developmentally Appropriate ◽  
Evidence Based ◽  
Silent Aspiration ◽  
Multiple Systems ◽  
Young Infants ◽  
Adequate Understanding ◽  
Nutrition And Hydration ◽  
Pediatric Feeding ◽  
Areas Of Concern ◽  
And Function

Abstract “Food for Thought” provides an opportunity for review of pertinent topics to add to updates in areas of concern for professionals involved with feeding and swallowing issues in infants and children. Given the frequency with which speech-language pathologists (SLPs) make decisions to alter feedings when young infants demonstrate silent aspiration on videofluoroscopic swallow studies (VFSS), the need for increased understanding about cough and its development/maturation is a high priority. In addition, understanding of the role(s) of laryngeal chemoreflexes (LCRs), relationships (or lack of relationships) between cough and esophagitis, gastroesophageal reflux (GER), and chronic salivary aspiration is critical. Decision making regarding management must take into account multiple systems and their interactions in order to provide safe feeding for all children to meet nutrition and hydration needs without being at risk for pulmonary problems. The responsibility is huge and should encourage all to search the literature so that clinical practice is as evidence-based as possible; this often requires adequate understanding of developmentally appropriate neurophysiology and function.

Videofluoroscopic Swallow Studies and Diagnostic Outcomes in Otherwise Healthy Infants With Dysphagia

2021 ◽  
pp. 000348942110477
Author(s):  
Michael C. Shih ◽  
Christina Rappazzo ◽  
Caroline Hudson ◽  
Julina Ongkasuwan
Keyword(s):  
Chart Review ◽  
Future Research ◽  
Silent Aspiration ◽  
Healthy Infants ◽  
Laryngeal Penetration ◽  
Swallow Study ◽  
Videofluoroscopic Swallow Study ◽  
Diagnostic Outcomes ◽  
Tracheal Aspiration

Objectives: To evaluate videofluoroscopic swallow study (VFSS) findings in infants with dysphagia and without prior diagnoses, and to characterize the outcomes and any diagnoses that follow. Methods: A chart review of all pediatric patients who received a VFSS at a tertiary children’s hospital from November 2008 to March 2017 was performed. Results: There were 106 infants (57 males and 49 females) with 108 VFSS. VFSS was normal in 18 (16.98%) infants. Regarding airway protection, 50 (47.17%) infants had laryngeal penetration, and 8 (7.55%) had tracheal aspiration; 3 (2.83%, 37.5% of all aspirators) exhibited silent aspiration. Of the 75 infants with minimum 2-year follow-up, 35 (46.67%) had no sequelae of disease and received no diagnoses. The most common diagnoses and pathologic sequelae were gastroesophageal reflux (n = 18, 24.00%), asthma (n = 8, 10.67%), laryngomalacia (n = 6, 8.00%), and tracheomalacia (n = 4, 5.33%), all consistent with United States pediatric data on prevalence. All infants (n = 51) with follow-up for dysphagia had resolution of symptoms within 9 months from VFSS order date. Conclusions: Otherwise healthy infants may show signs of dysphagia and not develop later illness. Parents can thus be counseled on the implications of dysphagia in a previously healthy infant. Our findings provide comparative statistics for future research in pediatric dysphagia.

scholarly journals Gross motor dysfunction as a risk factor for aspiration pneumonia in children with cerebral palsy

2018 ◽  
Vol 57 (5) ◽  
pp. 229 ◽  
Author(s):  
Cut Nurul Hafifah ◽  
Darmawan Budi Setyanto ◽  
Sukman Tulus Putra ◽  
Irawan Mangunatmadja ◽  
Teny Tjitra Sari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cerebral Palsy ◽  
Aspiration Pneumonia ◽  
Motor Dysfunction ◽  
Silent Aspiration ◽  
Gross Motor ◽  
Respiratory Problems ◽  
Children With Cerebral Palsy ◽  
Chest X Ray

Background Respiratory problems, such as aspiration pneumonia, are major causes of morbidity and mortality in children with cerebral palsy (CP) and greatly affect the quality of life of these children. Nevertheless, there is limited data on the incidence and risk factors of aspiration pneumonia in children with CP in Indonesia. Objective To determine the incidence and risk factors of aspiration pneumonia in children with cerebral palsy.Methods In children with CP aged 1-18 years, incidence of pneumonia was studied prospectively for 6 months and the prevalence of the risk factors was studied cross-sectionally. At baseline, we evaluated subjects’ by history-taking, physical examination, risk factors, and chest X-ray to assess the incidence of silent aspiration. Subjects were followed-up for six months to determine the incidence of overt or silent aspiration pneumonia.Results Eight out of 36 subjects had one or more episodes of aspiration, consisting of silent aspiration (2/36) and clinically diagnosed aspiration pneumonia (7/36). Subjects with more severe gross motor dysfunction experienced more episodes aspiration pneumonia, although it was not statistically significant (p = 0.06), while dysphagia (P=0.2) and nutritional status (P=0.11) were not associated with pneumonia or silent aspiration.Conclusion Twenty-five percent of children with CP experienced aspiration pneumonia during the 6-month study period, with gross motor dysfunction as a possible risk factor.

Question: What About Silent Aspiration? Answer: Silent Aspiration Is Volume-Dependent

2014 ◽  
pp. 119-131
Author(s):  
Steven B. Leder ◽  
Debra M. Suiter
Keyword(s):  
Silent Aspiration

Vocal Fold Movement and Silent Aspiration After Congenital Heart Surgery

2021 ◽  
Author(s):  
Amit Narawane ◽  
Christina Rappazzo ◽  
Jean Hawney ◽  
Hallie Clason ◽  
Dantin J. Roddy ◽  
...  
Keyword(s):  
Vocal Fold ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Congenital Heart Surgery ◽  
Silent Aspiration

Silent Aspiration Detection by Using Sound Analysis

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Samaneh Sarraf Shirazi ◽  
Zahra Moussavi
Keyword(s):  
Silent Aspiration ◽  
Sound Analysis

scholarly journals Fiberoptic endoscopic evaluation of swallowing in early-to-advanced stage Huntington’s disease

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Antonio Schindler ◽  
Nicole Pizzorni ◽  
Jenny Sassone ◽  
Lorenzo Nanetti ◽  
Anna Castaldo ◽  
...  
Keyword(s):  
Huntington's Disease ◽  
Huntington’S Disease ◽  
Neurodegenerative Disorder ◽  
Early Stage ◽  
Clinical Care ◽  
Self Report ◽  
Advanced Stage ◽  
Endoscopic Evaluation ◽  
Silent Aspiration ◽  
Scale Scores

Abstract Huntington's disease (HD) is a neurodegenerative disorder characterized by motor disturbances, cognitive decline, and behaviour changes. A well-recognized feature of advanced HD is dysphagia, which leads to malnutrition and aspiration pneumonia, the latter being the primary cause of death in HD. Previous studies have underscored the importance of dysphagia in HD patients with moderate-to-advanced stage disease, but it is unclear whether dysphagia affects patients already at an early stage of disease and whether genetic or clinical factors can predict its severity. We performed fiberoptic endoscopic evaluation of swallowing (FEES) in 61 patients with various stages of HD. Dysphagia was found in 35% of early-stage, 94% of moderate-stage, and 100% of advanced-stage HD. Silent aspiration was found in 7.7% of early-stage, 11.8% of moderate-stage, and 27.8% of advanced-stage HD. A strong correlation was observed between disease progression and dysphagia severity: worse dysphagia was associated with worsening of motor symptoms. Dysphagia severity as assessed by FEES correlated with Huntington’s Disease Dysphagia Scale scores (a self-report questionnaire specific for evaluating swallowing in HD). The present findings add to our understanding of dysphagia onset and progression in HD. A better understanding of dysphagia onset and progression in HD may inform guidelines for standard clinical care in dysphagia, its recognition, and management.

scholarly journals Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer

2019 ◽  
Vol 12 (5) ◽  
pp. e227629
Author(s):  
Ceri Childs ◽  
Sally K Archer
Keyword(s):  
Lung Cancer ◽  
Vocal Cord Palsy ◽  
Voice Rehabilitation ◽  
Speech And Language ◽  
Language Therapy ◽  
Silent Aspiration ◽  
Speech And Language Therapy ◽  
Specialist Services

A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate–severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.

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