Swallowing dynamics status post caustic ingestion in a pediatric patient: A multidisciplinary case report.
A case report of a 10 year old male illustrates the effect of damage to the tongue base, hypopharynx, cricopharyngeus, and esophagus on the sensory and motor components of the swallowing mechanism. The characteristics of the dysphagia were manifested clinically, radiographically, and endoscopically. A myectomy was required to restore functional swallowing as scar tissue formation in the cricopharyngeus severely interfered with the dynamic components of swallowing. A collaborative approach facilitated communication and effective treatment planning; the multidisciplinary components in the management of this case are discussed.
Aerodigestive and Esophageal Center, Cincinnati Children's Hospital, Cincinnati, OH 45229-3039, USA. Electronic address: claire.miller@cchmc.org.
Claire Kane
CK
Miller
Division of Pediatric Otorhinolaryngology, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, University of Cincinnati - Head and Neck Surgery, Cincinnati, OH, USA.
Michael J
MJ
Rutter
Division of Pediatric Surgery, Cincinnati Children's Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
Daniel
D
von Allmen
Division of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
Marilyn
M
Stoops
Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
Philip
P
Putnam
Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Luann
L
Stevens
Division of Pediatric Otolaryngology, University of Cincinnati - Head and Neck Surgery, Cincinnati, OH, USA; Cincinnati Children's Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
J Paul
JP
Willging
D002057:Burns, Chemical / Q000209:etiology / Q000503:physiopathology*; D002424:Caustics / Q000633:toxicity*; D002648:Child; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000209:etiology* / Q000503:physiopathology*; D004947:Esophagus / Q000293:injuries / Q000503:physiopathology; D006801:Humans; D007013:Hypopharynx / Q000293:injuries / Q000503:physiopathology; D008297:Male; D010609:Pharyngeal Muscles / Q000293:injuries / Q000503:physiopathology; D012972:Sodium Hydroxide / Q000633:toxicity*; D014059:Tongue / Q000293:injuries / Q000503:physiopathology
D002424:Caustics; D012972:Sodium Hydroxide
Caustic ingestion; Cricopharyngeus; Dysphagia; Pediatric