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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(3):348-352.
Videofluoroscopic Findings in Infants with Aspiration Symptom.
Kim, Tae Uk , Park, Won Beom , Byun, Seong Hoon , Lee, Mee Jeong , Lee, Seong Jae
1Department of Rehabilitation Medicine, Dankook University College of Medicine, Korea. rmlee@dankook.ac.kr
2Department of Pediatrics, Dankook University College of Medicine, Korea.
흡인 증상을 호소하는 영아의 비디오연하투시검사 소견
김태욱, 박원범, 변성훈, 이미정1, 이성재
단국대학교 의과대학 재활의학교실, 1소아과학교실
To describe the findings of videofluoroscopic study (VFSS) and investigate the usefulness of VFSS as a predictor of aspiration pneumonia in infants with aspiration symptoms.
Thirty-eight infants with aspiration symptoms were divided into two groups: those who showed aspiration symptom but had no pneumonia (Aspiration group); those with episode of aspiration pneumonia (Pneumonia group). The subjects' medical records and the results of VFSS were reviewed.
In aspiration group, oral phase was normal and the abnormalities were found only in pharygeal phase in a small number of subjects. On the other hand, pneumonia groups showed poor lip closure and bolus formation in oral phase. Abnormalities of pharyngeal phase were reduced laryngeal elevation, coating of pharyngeal wall, increased residue of valleculae, and delay of pharyngeal transit time. Penetration and aspiration were more frequently observed (p<0.05). Aspiration pneumonia occurred more frequently among infants who had supraglottic penetration (p<0.05).
Mild abnormalities were found only in pharyngeal phase in aspiration group, whereas VFSS abnormalities were observed in both oral and pharyngeal phase in infants with pneumonia. Our results suggest that VFSS would be useful in predicting the development of pneumonia in infants with aspiration symptoms. (J Korean Acad Rehab Med 2009; 33: 348-352)
Key Words: Aspiration pneumonia, Dysphagia, Infant, Fluoroscopy


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