Usefulness of Videofluoroscopic Swallow Study in Treacher Collins Syndrome With Cleft Palate: A Case Report.
10.5535/arm.2014.38.5.707
- Author:
Do Won HWANG
1
;
Kang Jae JUNG
;
Seung Yeon KIM
;
Jae Hyung KIM
Author Information
1. Department of Physical Medicine & Rehabilitation, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea. rehabkjh@hanmail.net
- Publication Type:Case Report
- Keywords:
Fluoroscopy;
Cleft palate;
Treacher Collins
- MeSH:
Child, Preschool;
Cleft Palate*;
Deglutition Disorders;
Enteral Nutrition;
Female;
Fluoroscopy;
Follow-Up Studies;
Humans;
Mandibulofacial Dysostosis*;
Mouth;
Pyriform Sinus;
Reflex;
Saliva
- From:Annals of Rehabilitation Medicine
2014;38(5):707-711
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 3-year-old girl had multiple anomalies compatible with Treacher Collins Syndrome (TCS). From the neonatal period, sucking was poor, making tube feeding necessary. Excessive saliva was retained in the oral cavity. Nasal leakage caused by the cleft palate was observed when she spoke. The initial videofluoroscopic swallow study (VFSS) showed a poor posterior bolus transit and nasopharyngeal regurgitation. A delayed swallow reflex and bolus stasis at the vallecular and pyriform sinuses were recognized. Based on the VFSS findings, the patient underwent palatoplasty at 20 months of age. At approximately 23 months of age, a follow-up VFSS was performed; poor posterior bolus transit, nasopharyngeal regurgitation, and delayed swallow reflex were not observed. Finally, the patient was able to eat ground or chopped foods and solid foods orally. We deem VFSS to be helpful in deciding the appropriate management of dysphagia in TCS.
