Abstract:
:Swallowing is a dynamic process that requires more than 30 muscles in the recruitment/coordination of the lips, tongue, palate, pharynx, larynx and esophagus. The eating and swallowing procedure is learned in sensitive or critical periods: when a certain degree of maturation has been achieved, the appropriate stimulus permits a certain milestone of development to occur. The swallowing procedure occurs in three main stages oral, pharyngeal, and esophageal. Therefore, swallowing disorders may present in any, some, or all of these stages in addition to feeding problems. Adult dysphagia, or difficulty swallowing, has long been reported in the literature. Infants and children also experience feeding disorders and swallowing problems, either because of developmental disorders, syndromes, behavioral or neurological conditions, respiratory problems, and/or gastroesophageal reflux, eosinophilic esophagitis or anatomical deficits. Feeding problems or dysphagia are seen in up to 25% of all children; approximately 40% of prematurely born infants have swallowing disorders, up to 64-78% with developmental disorders and up to 99% with cerebral palsy. Diagnostic options include health status, broad social environment, parent-child interactions, and parental concerns. Evaluation of dysphagia and feeding disorders involves a multifactorial approach. Imaging studies may include videofluoroscopy and/or fiberoptic evaluation of swallowing (FEES). Successful oral feeding must be measured in quality of meal time experiences with best possible oral sensorimotor skills and safe swallowing while not jeopardizing a child's functional health status or the parent-child relationship. An interdisciplinary team approach enables coordinated global assessment and therapy planning.
journal_name
HNOjournal_title
HNOauthors
Schwemmle C,Arens Cdoi
10.1007/s00106-017-0388-ysubject
Has Abstractpub_date
2018-07-01 00:00:00pages
515-526issue
7eissn
0017-6192issn
1433-0458pii
10.1007/s00106-017-0388-yjournal_volume
66pub_type
杂志文章,评审相关文献
HNO文献大全abstract::44 patients with ischemic facial paralysis were studied and tomograms made of both petrous bones. An attempt was made to establish the normal averages of various portions of the internal auditory meatus (fundus, middle, porus) from frontal projections. In addition, a comparison of each portion of the internal auditory...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1979-02-01 00:00:00
abstract::A papillary neoplasm that was presumed to originate from the endolymphatic sac was described by Heffner in 1989. This tumor was considered to be a "low-grade adenocarcinoma" because of its behavior: slow growth, local destruction and failure to metastasize. The clinical manifestations are hearing loss, vertigo, facial...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:The shortage of qualified doctors and nurses has led to a competition between hospitals. Analyzing the circumstances of the competition, nurses and doctors of so-called generation Y are important. These employees are mainly female and have different requirements compared to previous generations. Therefore, k...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-012-2572-4
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Recurrent exacerbation of chronic external otitis represents a special challenge for the attending physician. The goal of our study was to evaluate the effectiveness of novel topical immunomodulators acting through an anti-inflammatory, nonsteroidal mechanism. PATIENTS AND METHODS:In a prospective study, in...
journal_title:HNO
pub_type: 临床试验,杂志文章
doi:10.1007/s00106-007-1615-8
更新日期:2008-05-01 00:00:00
abstract::The importance of spiral-CT is clinically accepted for diagnosing spreading disease and for making a decision about the therapy strategy for head and neck tumors. Its importance for follow-up after radiotherapy was examined in 26 patients with irradiated laryngeal tumors. Using spiral-CT multiple signs of alterations ...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050377
更新日期:1999-03-01 00:00:00
abstract::For the medicolegal assessment of vestibular disorders, vestibulospinal tests are necessary. A minimum program includes the Romberg test, the Unterberger stepping test, and walking with eyes closed. When positive results are found, semi-quantitative evaluation is possible. However, this value is less important than is...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1981-05-01 00:00:00
abstract:BACKGROUND:In the case of trauma to the midface, an accompanying fracture of the orbit is common because to the anatomical conditions (bony buttresses of the midface). Etiology varies according to locoregional conditions. MATERIALS AND METHODS:An overview of orbital traumatology including diagnostic procedures, sympto...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-018-0525-2
更新日期:2018-10-01 00:00:00
abstract::Twenty-one patients with tumors or chronic inflammation of the parotid gland were examined both by MRI and ultrasound. The findings of MRI were compared with sonography and with the findings of other imaging methods. In most cases MRI provided valuable additional information about the structure of the gland and the ex...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::Neurinomas of the hypoglossal nerve are rarely reported. In most cases these tumors are intracranial or sited at the skull base. Only a few solitary neurinomas of the twelfth cranial nerve have been reported. In most of these cases the tumors arose from the descending part of the nerve in the parapharyngeal space. We ...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract::Extrapolated DPOAE growth functions can be applied in ENT diagnostics for a specific assessment of cochlear dysfunction. In screening newborn hearing, they are able to detect transitory sound conductive hearing loss and thus help to reduce the rate of false positive TEOAE responses in the early postnatal period. Since...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-004-1179-9
更新日期:2005-02-01 00:00:00
abstract::A retrospective study of 199 surgically treated skin carcinomas showed that the majority of the insufficiently resected tumors had a maximum diameter of 10 mm. A surgical concept is presented which allows reliable histological control of the tumor margins and an exact resection of any residual carcinoma. This therapeu...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::The incidence of human papillomavirus (HPV)-positive oropharyngeal carcinomas is increasing worldwide. Due to a markedly different response to treatment compared to HPV-negative oropharyngeal carcinomas, determining the ideal therapeutic approach can be challenging. Particularly in never-smokers, HPV-positive orophary...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-020-00900-6
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Sound transduction in the cochlea critically depends on the circulation of potassium ions (K(+)) along so-called "K(+) recycling routes" between the endolymph and perilymph. These K(+) currents generate high ionic and osmotic gradients, which potentially impair the excitability of sensory hair cells and thre...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-014-2872-y
更新日期:2014-06-01 00:00:00
abstract::Air bags are among the latest developments in extensive automobile safety systems. They successfully have saved the lives of car occupants in road accidents. Many additional injuries caused by air bags from minor to severe have been reported. With the help of two acceleration sensors, the electronic tuner amplifier re...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050657
更新日期:2000-10-01 00:00:00
abstract::The results of transoral laser microsurgery of hypopharyngeal carcinomas have been described in previous publications. These are discussed on the basis of literature reports on the therapy used, inclusive of surgery and/or radiotherapy and/or chemotherapy. The most important parameters of prognosis include neck and di...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::The current paper reports on a patient with recurrent rotational vertigo and persistent dizziness and imbalance lasting weeks, who underwent extensive neurootological and radiological examination. Pathological findings initially included right-sided benign paroxysmal positional vertigo (BPPV), persistent horizontal sp...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-016-0316-6
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The incidence of squamous cell carcinomas in the upper aerodigestive tract has increased worldwide. The main risk factors are chronic tobacco and alcohol consumption. The detection of high-risk persons is important because early diagnosis of these tumors provides a good chance for permanent hea...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060170094
更新日期:2001-06-01 00:00:00
abstract::The current adjustment of cochlear implant (CI) speech processors is based on a knowledge of the lower and upper limits (T- and C-levels) for electrical stimulus currents. These data are usually acquired from subjective classifications of individual patients. In cases with non-reliable patient responses, objective met...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050304
更新日期:1998-08-01 00:00:00
abstract::We describe a 36 year old man who underwent three Caldwell-Luc operations during a five year period. Following the first operation, a persistent induration of the cheek was noted, and was found to be sarcoidosis histologically after the third operation. Since sarcoidosis is uncommonly found in the region of the maxill...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract::Translational research in head and neck oncology is subject to the same laws as all other solid tumors. It is based on the one hand on a solid framework of well prepared clinical studies and / or workflows according to consensus criteria with comparable documentation of clinical outcomes, while on the other on methodo...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s00106-011-2361-5
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Patulous Eustachian tube (ET) dysfunction can impair quality of life (QOL) due to autophony, pressure sensation, and an altered impression of sound. In cases of nonspecific complaints the diagnosis of patulous ET can be difficult, and its distinction from chronic obstructive ET dysfunction is particularly ch...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-020-00931-z
更新日期:2020-09-03 00:00:00
abstract::The aim of this study was to confirm the hypothesis based on clinical observations of a causal relationship between arterial hypotension and sudden hearing loss of lower frequencies. A noninvasive system was used that enables repeated blood pressure measurements at programmable time intervals. With this method 24-hour...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::The epithelial pathogenesis of acquired cholesteatoma has been widely accepted, but clinical and experimental data have not been able to answer questions like: How does a cholesteatoma start or grow or how is bone resorption of conducted? From our own experiments and literature a new hypothesis of cholesteatoma origin...
journal_title:HNO
pub_type: 杂志文章,评审
doi:10.1007/s001060050257
更新日期:1998-05-01 00:00:00
abstract::Tumoral lesions in the head and neck region represent a diagnostic and therapeutic challenge in otorhinolaryngologic routine. High-resolution ultrasound is usually able to guide diagnosis. Nevertheless, a definite differentiation between benign and malignant lesions can only be achieved by tissue biopsy. The various o...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-020-00981-3
更新日期:2021-01-08 00:00:00
abstract::Learning microsurgery of the middle ear requires preparations of temporal bones. Ethical and moral restrictions in obtaining specimens make training and research with temporal bone preparations increasingly more difficult. Due to the complex structure of the temporal bone with its communicating cavities, the manufactu...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s001060050233
更新日期:1998-03-01 00:00:00
abstract:: ...
journal_title:HNO
pub_type: 社论
doi:10.1007/s00106-018-0579-1
更新日期:2018-12-01 00:00:00
abstract::Three keloids harvested during surgery were prepared for histology and scanning electron microscopy (SEM) of vascular corrosion casts. One well-filled keloid (12 cm x 7 cm) was examined by SEM. This specimen revealed a conspicuous increase in subepidermal venous vessels as well as prominent luminal bulging of the endo...
journal_title:HNO
pub_type: 杂志文章
doi:
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:Cleft lip and palate are the most common malformation in the orofacial region. The type and dimension of the cleft determine the functional limitations of respiration, swallowing, speech, articulation and hearing. In addition, cosmetic and communicative restrictions influence the cognitive, social and educat...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-003-0843-9
更新日期:2003-06-01 00:00:00
abstract::Carotid bleeding is one of the most severe complications in ear, nose and throat (ENT) surgery. It is a rare complication in patients with cancer of the head and neck after radiochemotherapy. We report the case of a 65-year-old man who suffered from cancer of the tonsils (pT2pN1M0) and was treated in 1987 with surgery...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-009-1974-4
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Apart from allergen avoidance and pharmacotreatment, specific immunotherapy (SIT) is the most important therapeutic option offered to allergic patients. Clinical efficacy of SIT depends on the specific allergen extract used, the quality and total cumulative amount of allergen applied and the treatment schedu...
journal_title:HNO
pub_type: 杂志文章
doi:10.1007/s00106-009-1946-8
更新日期:2009-11-01 00:00:00