The prognosis depends on underlying conditions that predispose to impaired sucking and swallowing. However, the early recognition of feeding problems, the diagnosis of underlying disorders and appropriate intervention improve outcomes for the child and the family.

Table 15.4 Swallowing strategies for pediatric dysphagia

Behavioral training Dietary modification thickened liquids thin liquids

Proper intrabolus placement modification of feeding utensils and bolus presentation

Swallowing exercises supraglottic swallow supersupraglottic swallow effortful swallow Mendelsohn maneuver

Modification of body tone, posture, seating and positioning head tilt chin tuck head rotation lying on the side, elevation

Suckle-feeding-valved feeding bottle

Crycopharyngeal myotomy

Facilitatory techniques biofeedback thermal stimulation gustatory stimulation

Provision of alternative means of enteral nutrition nasogastric feeding gastrostomy tube (surgical or endoscopic)


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