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Deglutition disorders in infants with risk for neuropsychomotor development

PURPOSE:

to describe the deglutition disorders in infants with risk for the neuropsychomotor development.

METHODS:

it was carried of the singled operative, observational and cross-sectional temporal reference. The sample consisted of 83 children, with chronological age among zero and 36 months.

RESULTS:

there were confirmed that all infants present deglutition disorders. Concerning the risk factors, it was verified prematurity as the largest prevalence (40,7%), accompanied in decreasing order by neonatal hypoxia (35,2%), respiratory distress syndrome (25,9%), epilepsy (22,2%), sepsis (18,5%) and peri-intraventricular treatment (7,4%). The main deglutition disorders found during the clinical evaluation, were anterior escape (71%) and cough (72,5%) on liquid consistence. In pasty consistence, were observed anterior escape (76,9%), cough (64,1%) and increase oral transit (56,4%). The fiberoptic endoscopic evaluation of swallowing findings were alimentary posterior escape into pharynx (78,6%), delay at the beginning of swallowing (57,1%), residues in valleculae (7,1%), residues in pyriforms recesses (7,1%), laryngeal penetration (21,4%) and laryngeal sensibility alteration (14,3%). In the relation of the risks factors for the development and deglutition disorders, alterations in the oral and pharyngeal phases were detected.

CONCLUSION:

there is an association between the risk factors for the neuropsychomotor development and the deglutition disorders.

Risk Factors; Child Development; Deglutition Disorders


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