1. Clinical and Acoustic Alterations of Swallowing in Children Exposed to Zika Virus during Pregnancy in a Cohort in Amazonas, Brazil: A Case Series Study.
- Author
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Rodrigues, Cristina de Souza, Souza, Raillon Keven Santos, Rocha Neto, Cosmo Vieira, Otani, Rodrigo Haruo, Batista, Daniel de Medeiros, Maia, Ana Karla Nelson de Oliveira, Filho, Kleber Pinheiro de Oliveira, Andrade, Thais Dourado de, Andrade Almeida, Emmilyn de, Maciel, Luiz Henrique Gonçalves, Castro, Lucíola de Fátima Albuquerque Almeida Peixoto, Abtibol-Bernardino, Marília Rosa, Baia-da-Silva, Djane Clarys, Benzecry, Silvana Gomes, Castilho, Marcia da Costa, Martínez-Espinosa, Flor Ernestina, Alecrim, Maria das Graças Costa, Santos, Rosane Sampaio, and Botto-Menezes, Camila
- Subjects
DEGLUTITION ,ZIKA virus infections ,ZIKA virus ,SOFT palate ,HARD palate ,BOLUS (Digestion) ,BREAST milk - Abstract
Oropharyngeal dysphagia (OD) is a swallowing disorder that involves difficulty in safely passing the food bolus from the oral cavity to the stomach. OD is a common problem in children with congenital Zika virus syndrome (CZS). In this case series, we describe the clinical and acoustic alterations of swallowing in children exposed to the Zika virus during pregnancy in a cohort from Amazonas, Brazil. From July 2019 to January 2020, 22 children were evaluated, 6 with microcephaly and 16 without microcephaly. The mean age among the participants was 35 months (±4.6 months). All children with microcephaly had alterations in oral motricity, mainly in the lips and cheeks. Other alterations were in vocal quality, hard palate, and soft palate. Half of the children with microcephaly showed changes in cervical auscultation during breast milk swallowing. In children without microcephaly, the most frequently observed alteration was in lip motricity, but alterations in auscultation during the swallowing of breast milk were not observed. Regarding swallowing food of a liquid and pasty consistency, the most frequent alterations were incomplete verbal closure, increased oral transit time, inadequacy in capturing the spoon, anterior labial leakage, and increased oral transit time. Although these events are more frequent in microcephalic children, they can also be seen in non-microcephalic children, which points to the need for an indistinct evaluation of children exposed in utero to ZIKV. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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