Pharyngeal Manometry in Pediatric Dysphagia Assessment

Lara Ferris, Taher Omari

Research output: Contribution to journalArticle

Abstract

Purpose
Reliable measures to capture swallowing pathophysiology and outcomes from therapeutic interventions are needed in the pediatric setting. Therefore, this review presents the current best evidence for manometry investigation and its application in pediatric dysphagia. For oropharyngeal dysphagia assessment, videofluoroscopic swallow study is considered the gold standard, and fiberoptic endoscopic examination of swallowing is also employed in some settings. In clinical practice, both tests mostly rely on qualitative interpretation of image data and have variable reliability to detect pathophysiology.
Conclusion
Acknowledging that swallowing is a pressure-driven event, the role of manometry is now being considered as an objective, nonradiological technique that can be performed as an adjunct to other clinical swallow evaluations. The latest high-resolution manometry catheter technologies are miniaturized and simple to use, enhancing their potential application in pediatric clinical and research contexts.
Original languageUndefined/Unknown
Pages (from-to)656-682
Number of pages27
JournalPerspectives of the ASHA Special Interest Groups
Volume4
Issue number4
DOIs
Publication statusPublished - 2019

Keywords

  • Pharyngeal manometry
  • pediatric dysphagia
  • swallowing
  • pathophysiology

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