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Int Arch Otorhinolaryngol 2015; 19(01): 055-060
DOI: 10.1055/s-0034-1384687
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Evaluation of Swallowing in Infants with Congenital Heart Defect

Karine da Rosa Pereira
1   Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Cora Firpo
2   Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Marisa Gasparin
3   Department of Speech Pathology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Adriane Ribeiro Teixeira
1   Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Silvia Dornelles
1   Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Tzvi Bacaltchuk
2   Department of Paediatric Cardiology, Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Deborah Salle Levy
1   Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
› Author Affiliations
Further Information

Publication History

03 March 2014

09 June 2014

Publication Date:
05 November 2014 (online)

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Abstract

Introduction Surgical repair of congenital heart disease in the first years of life compromises the coordination of the suction, breathing, and swallowing functions.

Objective To describe the alterations in swallowing found in infants with congenital heart defect during their hospitalization.

Methods Prospective, cross-sectional study in a reference hospital for heart disease. The sample consisted of 19 postsurgical patients who underwent an evaluation of swallowing. The infants included were younger than 7 months and had a diagnosis of congenital heart defect and suspected swallowing difficulties.

Results Of the 19 infants with congenital heart defect, the median age was 3.2 months. A significant association was found between suction rhythm and dysphagia (p = 0.036) and between oral-motor oral feeding readiness and dysphagia (p = 0.014).

Conclusions The data suggest that dysphagia often occurs after surgery in infants with congenital heart defect. Infants with congenital heart defect had very similar behavior to preterm infants in terms of oral feeding readiness.

Keywords

congenital heart - defects - infant - deglutition disorders - respiratory aspiration - speech - language and hearing sciences
 

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