Influence of orotracheal intubation on orofacial myofuncional changes in infants
DOI:
https://doi.org/10.23925/2176-2724.2021v33i4p705-711Keywords:
Intubation, Intratracheal, Infants, Facial Muscles, Speech, Language and Hearing SciencesAbstract
Introduction: Post-extubation swallowing changes are widely identified and studied, in which dysphagia is identified in the oral and pharyngeal phases, accompanied by laryngeal penetration and aspiration. However, orofacial myofunctional changes in post-extubation patients are still not well described in pediatrics. Objective: Verify the influence of orotracheal intubation on orofacial myofunctional changes in lactates. Methods: Cross-sectional study, performed in a Pediatric Intensive Care Unit from November 2015 to September 2016. Participants were divided into two groups: study group, with medical diagnosis of congenital heart disease, post-cardiac surgery, undergoing OTI for at least 6 hours, and the control group was composed of infants aged 0 to 6 months, previously healthy, who did not have any previous IOT. After selection, babies from both groups were submitted to the same assessment protocols. The clinical evaluation of the child’s orofacial myofunctional structures was performed using the Pediatric Dysphagia Assessment Protocol. Results: Lip posture, lip tone, tongue posture, palate, and vocal quality were significantly associated with the use of OIT, intraoral pressure and suction pattern. When analyzing the frequency distribution of the comparison with and without OIT, it is observed that there is no specific pattern that indicates whether the association is harmful, protective or does not interfere in the pattern of myofunctional characteristics in these cases. Conclusion: OIT influence was found in orofacial myofunctional structures in infants, when compared to babies who were not intubated.
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Copyright (c) 2021 Vanessa Souza Gigoski de Miranda, Laura Battistin Schiavoni, Rafaela Soares Rech, Lisiane De Rosa Barbosa, Gilberto Bueno Fischer
This work is licensed under a Creative Commons Attribution 4.0 International License.
