Journal List > Korean J Pediatr Gastroenterol Nutr > v.12(Suppl 1) > 1110082

Korean J Pediatr Gastroenterol Nutr. 2009 Nov;12(Suppl 1):S77-S84. Korean.
Published online Nov 30, 2009.
Copyright © 2009 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Pediatric Dysphagia
Min Young Kim
Department of Rehabilitation Medicine, College of Medicine, CHA University, Pocheon, Korea.

Pediatric dysphagia comes from disturbances in swallowing process, which has ‘preparatory phase’, ‘oral phase’, ‘pharyngeal phase’, and ‘esophageal phase’, and mainly the causes are neuro-muscular discoordination. It is necessary to recognize clinical manifestation if they have accompanied organic disorder and diagnose accurately. Videofluoroscopic study evaluation is a valuable method to find out abnormal swallowing mechanism at each phases. Treatment should be diagnosis specific, and multidisciplinary team approach is desirable. We can use various behavioral techniques to facilitate normal swallowing mechanism including conditioning of oral and pharyngeal structures, bolus manipulation, postural compensation, and adaptive feeding utensils. Important point is that the diagnosis and treatment for pediatric dysphagia should not be delayed because children are under development.

Keywords: Dysphagia; Swallowing; Rehabilitation; Behavioral therapy