Neonatal Swallowing Assessment and Practical Recommendations for Oral Feeding in a Girl With a Severe Congenital Myopathy

The investigators report the case of a 6-week-old girl with a cap-like congenital myopathy and frequent coughing during feeding. Neonatal swallowing assessments were performed with surface electromyography of the submental muscle group and nasal airflow during sucking and swallowing. A videofluorosc...

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Veröffentlicht in:Journal of Child Neurology 2011-08, Vol.26 (8), p.1041-1044
Hauptverfasser: van den Engel-Hoek, Lenie, Erasmus, Corrie E., de Swart, Bert J. M., Sie, Lilian T. L., de Groot, Imelda J. M.
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container_end_page 1044
container_issue 8
container_start_page 1041
container_title Journal of Child Neurology
container_volume 26
creator van den Engel-Hoek, Lenie
Erasmus, Corrie E.
de Swart, Bert J. M.
Sie, Lilian T. L.
de Groot, Imelda J. M.
description The investigators report the case of a 6-week-old girl with a cap-like congenital myopathy and frequent coughing during feeding. Neonatal swallowing assessments were performed with surface electromyography of the submental muscle group and nasal airflow during sucking and swallowing. A videofluoroscopic swallow study was performed separately. The registration of swallowing and breathing revealed a highly coordinated sequence of sucking, swallowing, and breathing. However, after a series of sucking and swallowing there was residue in the hypopharyngeal area, causing laryngeal penetration and coughing. Based on the findings, specific recommendations such as the use of a soft nipple, diminished suck–swallow sequences, and limited feeding time were made for this girl. These proved to be appropriate to prevent coughing as a signal of penetration or aspiration of milk during swallowing. This case highlights the profit of neonatal swallowing assessment, which can provide recommendations for safe oral feeding.
doi_str_mv 10.1177/0883073811402071
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subjects Cough - etiology
Deglutition
Electromyography
Feeding Methods - instrumentation
Female
Humans
Infant
Muscular Diseases - complications
Muscular Diseases - congenital
Practice Guidelines as Topic
Sucking Behavior
title Neonatal Swallowing Assessment and Practical Recommendations for Oral Feeding in a Girl With a Severe Congenital Myopathy
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