Introduction: Swallowing problems in children with a tracheostomy tube seem to be a common problem, although exact prevalence is not known. The aim of this study is to identify the prevalence and type of swallowing problems in children with a tracheostomy tube. Methods: We retrospectively included 44 children having a tracheostomy tube at Erasmus MC-Sophia Children's hospital. Assessment by a specialized speech and language therapist, the Modified Evans Blue Dye test, Video Fluoroscopic Swallowing Study and a Fiber-optic Endoscopic Evaluation of Swallowing were reviewed with regard to the different phases of swallowing, in particular signs of aspiration. Results: In our cohort, 31 (70%) children with a tracheostomy tube presented with problems in the oral and/or the pharyngeal phase of swallowing. Overall 19 (43%) children aspirated. Conclusions: The majority of children with a tracheostomy tube have swallowing problems in the different swallowing phases with a high risk for aspiration.

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doi.org/10.1016/j.ijporl.2019.05.003, hdl.handle.net/1765/121130
International Journal of Pediatric Otorhinolaryngology
Department of Otorhinolaryngology

Streppel, M., Veder, L. L., Pullens, B., & Joosten, K. (2019). Swallowing problems in children with a tracheostomy tube. International Journal of Pediatric Otorhinolaryngology, 124, 30–33. doi:10.1016/j.ijporl.2019.05.003