Pre and post-surgical dysphagia outcome associated with posterior fossa tumour in children.

Journal of Neuro-oncology
Angela Tamsin MorganRichard Hayward

Abstract

Swallowing impairment (dysphagia) has been reported as a possible sequela following surgical removal of posterior fossa tumours (PFT). Dysphagia may result in aspiration of food/fluid leading to respiratory tract infection, placing the patient at considerable health risk. No prospective studies have investigated dysphagia pre and post-surgical removal of PFT. The present study aimed to document the presence, severity and characteristics of dysphagia pre and post-surgical resection of PFT, and to determine whether children were managing a normal oral diet (i.e. a measure of functional swallowing ability) at two months post-surgery. Dysphagia was assessed using a clinical bedside evaluation in 11 participants (8 M; aged 3 years 6 months to 13 years 5 months) pre (within 3-5 days) and post-surgery (within 1-2 weeks). Return to normal oral feeding was documented at two months post-surgery via a parent telephone interview. No participant had dysphagia pre-surgically. Seventy three percent (8/11) had dysphagia at 1-2 weeks post-surgery, primarily characterized by impaired lip closure (8/8), poor mastication (8/8), and inefficient oral transit (8/8). Whilst dysphagia severity was largely mild (6/8) in presentation, data suggest that a...Continue Reading

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Citations

Apr 7, 2010·Expert Review of Neurotherapeutics·Dattatraya Muzumdar, Enrique C G Ventureyra
Jan 4, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Eric A GoetheSandi Lam
Aug 16, 2011·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·V JayasekeranS Hamdy
Apr 10, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Eric A GoetheSandi Lam
Oct 30, 2010·Journal of Evaluation in Clinical Practice·Angela T Morgan, Jemma Skeat
Mar 29, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Cristina Mei, Angela T Morgan
Mar 17, 2020·Journal of Pediatric Rehabilitation Medicine·Kaliani Lima CoçaMárcia Gonçalves Ribeiro
Apr 5, 2012·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Olivia D TaylorKelly A Weir
Mar 30, 2021·Journal of Neurological Surgery. Part B, Skull Base·Sibi RajendranPrashant Chittiboina
Oct 16, 2021·International Journal of Speech-language Pathology·Sara ChamiKimberley Docking
Jun 17, 2021·Journal of Pediatric Hematology/oncology·Daniel V RuncoAnn C Mertens

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