Injection Medialization in Infants with Vocal Fold Immobility Improves Dysphagia

Jennifer M Siu; Shaunak N. Amin; Jessica Colyer; Cassie Horner; Aarti Bhat; Lyubomyr Bohuta; Titus Chan; John P. Dahl; Jennifer Fridgen; Kaalan Johnson; Caitlin Yip; Sanjay R. Parikh

doi:10.1002/lary.31462

journal article Apr 27, 2024

Injection Medialization in Infants with Vocal Fold Immobility Improves Dysphagia

Jennifer M Siu

Shaunak N. Amin Jessica Colyer Cassie Horner Aarti Bhat Lyubomyr Bohuta Titus Chan John P. Dahl

Jennifer Fridgen Kaalan Johnson

Caitlin Yip Sanjay R. Parikh

The Laryngoscope Vol. 134 No. 10 pp. 4396-4401 · Wiley

View at Publisher Save 10.1002/lary.31462

Abstract

BackgroundUnilateral vocal fold immobility (VFI) is a known cause of morbidity amongst children following congenital heart surgery. Injection medialization (IM) provides medial distraction and improves glottic closure. Limited objective data is available for the effect of IM in young children (<2 years‐old) with VFI.MethodsRetrospective case series of infants <2 who underwent IM for VFI after congenital cardiac surgery. Primary outcome was objective reduced risk of aspiration based on Dysphagia and Outcome Severity Scores (DOSS) on Video swallow study (VFSS) performed prior to and within 4 weeks following IM. Secondary analysis included perioperative complications and number of children who were able to avoid NG or G tube placement.Results17 children <2 years of age had unilateral VFI after congenital cardiac surgery and underwent IM. The median age at time of initial cardiac surgery was 6 days (IQR 3–7). There was no intraoperative or postoperative stridor or associated complications. All 17 patients had preoperative aspiration noted on VFSS. Average swallowing outcomes on VFSS improved after IM with an increase in DOSS score (preop score 3 (IQR 2–4) to postop score 6.5 (IQR 5–7) [P = 0.001]). At 2 months following IM, of the patients who had improvement in swallowing function, 50% (n = 6) were able to feed completely orally, 25% (n = 3) were fed orally with an NG wean, and 3 (25%) had a G tube placed.ConclusionInitial results suggest that IM is safe and improves early objective swallowing outcomes in children <2 years old with VFI after congenital cardiac surgery.Level of Evidence4 Laryngoscope, 134:4396–4401, 2024

Topics

No keywords indexed for this article. Browse by subject →

References

11

[1]

10.1016/j.jtcvs.2018.12.117

[2]

10.1016/j.ijporl.2018.11.020

[3]

10.1177/0194599818813002

[4]

10.1016/j.ijporl.2023.111542

[5]

10.1002/lary.27436

[6]

10.1177/0194599815601393

[7]

The Dysphagia Outcome and Severity Scale

Karen H. O'Neil, Mary Purdy, Janice Falk et al.

Dysphagia 10.1007/pl00009595

[8]

10.1016/j.ijporl.2016.02.014

[9]

10.1053/j.jvca.2021.03.008

[10]

10.1177/21501351211015922

[11]

10.1002/lary.25739

Metrics

3

Citations

11

References

Details

Published: Apr 27, 2024
Vol/Issue: 134(10)
Pages: 4396-4401
License: View

Authors

J

Jennifer M Siu

Department of Otolaryngology‐Head and Neck Surgery The Hospital for Sick Children Toronto Ontario Canada

S

Shaunak N. Amin

Division of Otolaryngology‐Head & Neck Surgery Seattle Children's Hospital Seattle Washington U.S.A.

J

Jessica Colyer

Division of Cardiology Seattle Children's Hospital Seattle Washington U.S.A.

C

Cassie Horner

Division of Cardiology Seattle Children's Hospital Seattle Washington U.S.A.

A

Aarti Bhat

Division of Cardiology Seattle Children's Hospital Seattle Washington U.S.A.

L

Lyubomyr Bohuta

Division of Cardiac Surgery Seattle Children's Hospital Seattle Washington U.S.A.

T

Titus Chan

Division of Cardiology Seattle Children's Hospital Seattle Washington U.S.A.

J

John P. Dahl

Division of Otolaryngology‐Head & Neck Surgery Seattle Children's Hospital Seattle Washington U.S.A.

J

Jennifer Fridgen

Division of Physical Therapy Seattle Children's Hospital Seattle Washington U.S.A.

K

Kaalan Johnson

Division of Otolaryngology‐Head & Neck Surgery Seattle Children's Hospital Seattle Washington U.S.A.

C

Caitlin Yip

Division of Cardiology Seattle Children's Hospital Seattle Washington U.S.A.

S

Sanjay R. Parikh

Division of Otolaryngology‐Head & Neck Surgery Seattle Children's Hospital Seattle Washington U.S.A.

Cite This Article

Jennifer M Siu, Shaunak N. Amin, Jessica Colyer, et al. (2024). Injection Medialization in Infants with Vocal Fold Immobility Improves Dysphagia. The Laryngoscope, 134(10), 4396-4401. https://doi.org/10.1002/lary.31462

Injection Medialization in Infants with Vocal Fold Immobility Improves Dysphagia

You May Also Like