Swallowing dynamics status post caustic ingestion in a pediatric patient: A multidisciplinary case report

Claire Kane Miller; Michael J Rutter; Daniel von Allmen; Marilyn Stoops; Philip Putnam; Luann Stevens; J Paul Willging

doi:10.1016/j.ijporl.2016.04.003

Swallowing dynamics status post caustic ingestion in a pediatric patient: A multidisciplinary case report

Int J Pediatr Otorhinolaryngol. 2016 Jul:86:4-8. doi: 10.1016/j.ijporl.2016.04.003. Epub 2016 Apr 8.

Authors

Claire Kane Miller¹, Michael J Rutter², Daniel von Allmen³, Marilyn Stoops⁴, Philip Putnam⁵, Luann Stevens⁶, J Paul Willging⁷

Affiliations

¹ Aerodigestive and Esophageal Center, Cincinnati Children's Hospital, Cincinnati, OH 45229-3039, USA. Electronic address: [email protected].
² Division of Pediatric Otorhinolaryngology, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, University of Cincinnati - Head and Neck Surgery, Cincinnati, OH, USA.
³ Division of Pediatric Surgery, Cincinnati Children's Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
⁴ Division of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
⁵ Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Aerodigestive and Esophageal Center, Cincinnati, OH, USA.
⁶ Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
⁷ Division of Pediatric Otolaryngology, University of Cincinnati - Head and Neck Surgery, Cincinnati, OH, USA; Cincinnati Children's Aerodigestive and Esophageal Center, Cincinnati, OH, USA.

PMID: 27260570
DOI: 10.1016/j.ijporl.2016.04.003

Abstract

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.

Keywords: Caustic ingestion; Cricopharyngeus; Dysphagia; Pediatric.

Publication types

Case Reports

MeSH terms

Burns, Chemical / etiology
Burns, Chemical / physiopathology*
Caustics / toxicity*
Child
Deglutition / physiology*
Deglutition Disorders / etiology*
Deglutition Disorders / physiopathology*
Esophagus / injuries
Esophagus / physiopathology
Humans
Hypopharynx / injuries
Hypopharynx / physiopathology
Male
Pharyngeal Muscles / injuries
Pharyngeal Muscles / physiopathology
Sodium Hydroxide / toxicity*
Tongue / injuries
Tongue / physiopathology

Substances

Caustics
Sodium Hydroxide