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�������		�������8��O<�@x�(��������?�?�?�?�?�?�?$�B�AEJ�?������?��H�?'$'$'$����?'$��?'$'$�<7��8����� XތrP�����!��7�?�?0@�7��E�"N�E,�8�8z�E;l��'$������?�?'$���@�������������������������������������������������������������������������E���������	+E:DEGLUTITION DYNAMICS IN CHILDREN AT LONG-TERM FOLLOW-UP AFTER ADENOTONSILLECTOMY


Anete Branco1, Andr� Pinheiro de Magalh�es Bertoz2, Daniela de Souza Neves1, Tais Huehara3, Antonio Carlos Mar�o1, Kelly Regina Micheletti4, Osmar Aparecido Cuoghi5, Marcos Rog�rio de Mendon�a5, Silke Anna Theresa Weber1 

1-Ophthalmology, Otorhinolaryngology, Head and Neck Surgery Department. Botucatu Medical School/UNESP, Botucatu, S�o Paulo, Brazil.
2-Orthodontist Assistant Professor, Department of Social Dentistry and Child. Universidade Estadual Paulista �J�lio de Mesquita Filho� � Faculdade de Odontologia Campus de Ara�atuba, Ara�atuba, S�o Paulo, Brazil.
3-Under-graduate student of Medicine, Botucatu Medical School/UNESP, Botucatu, S�o Paulo, Brazil.
4-Postgraduate Student, Department of Social Dentistry and Child. Universidade Estadual Paulista �J�lio de Mesquita Filho� � Faculdade de Odontologia Campus de Ara�atuba, Ara�atuba, S�o Paulo, Brazil.
5-Orthodontist Adjunct Professor, Department of Social Dentistry and Child, Universidade Estadual Paulista �J�lio de Mesquita Filho� � Faculdade de Odontologia Campus de Ara�atuba, Ara�atuba, S�o Paulo, Brazil.


Corresponding Author:
Kelly Regina Micheletti, PhD Student in Orthodontics at Social and Dentistry Department Universidade Estadual Paulista, Ara�atuba-UNESP. Jos� Bonif�cio street, 1193, zip code 16015 050, Ara�atuba, S�o Paulo, Brazil.
 HYPERLINK "mailto:kellymicheletti@hotmail.com" kellymicheletti@hotmail.com	
Phone: (05543) 8860-7161/ Fax number (05543) 3322-2944.



CONFLICT OF INTEREST - None declared
FINANCIAL DISCLOSURE � No

ABSTRACT
Objective: The aim of this study was to evaluate the dynamics of swallowing in children at least three years of follow-up after adenotonsillectomy. Patients and Methods: Children, who were submitted to adenotonsillectomy three to eight years ago due to obstructive breathing disorders during sleep and hypertrophy of the tonsills, realized videofluoroscopy for assessment of the swallowing process. Results: 89 children, 44 males and 45 females, aged between 7 and 19 years old, median post-operative period of 5 years, were included. At videofluoroscopy, 49% of the children showed slowing of the oral and pharyngeal phases, 51% labial leak during the swallowing. 59.9% of the children used swallowing maneuvers. In addition, stasis in the valleculae was found in 51% of the children. Conclusion: Alterations of the dynamics of swallowing are frequent in children submitted to surgery of the tonsills, even at late follow-up.
Keywords: Children, Deglutition dynamics, Adenotonsillectomy, Videofluoroscopy













Introduction
Obstructive breathing disorders during sleep due to hypertrophy of the tonsils are frequent in childhood, its peak incidence found at preschool age. Adenotonsillectomy is considered the treatment of choice. In the United States, it is estimated that annually about 250.000 of such procedures are performed.1
The oral breathing originated from the nasal obstruction can interfere directly in children�s development, as school performance general growth, but even with alterations in the craniofacial growth, speech, posture and food intake.2
There is an important relation between the muscles of airways, the anatomy and the pattern of breathing and swallowing. If there is any alteration of this physiologic system, it is possible to find deficits in the development of the stomatognathic system and the oral functions such as swallowing. Therefore, it is important to identify and treat the functional alterations of orofacial organs and of the swallowing process. The multidisciplinary approach has been recommended as a standard in children after tonsil surgery.3-11
There are several studies that evidence the atypical swallowing in children with nasal obstruction.3,4,11,12,13 However the literature is poor concerning the researches about the dynamic of swallowing from the oral phase to the pharyngeal, mainly late evaluation. The aims of the present study were to evaluate the swallowing process in children at late follow-up after adenotonsillectomy due to obstructive breathing disorders. 

Material and Methods
Study design and patients
The retrospective study was carried from a list of 900 adenotonsillectomy surgeries in children at 2 to 8 years old. Two hundred and twenty patients responded to telephone calls and the others were not loclizados the study period. 89 children in late postoperative period after adenotonsillectomy attend to evaluation (from 3 to 8 years after surgery). 

Materials
The diagnosis and recommendation for adenotonsillectomy were given after the otolaryngology exams resulting in the presence of pharyngeal tonsils grade III or IV, and adenoids occupying more than 80% of the cavum.15 Children with neurological diseases and genetic syndromes were excluded. 
The videofluoroscopy for deglutition was carried out in the Sector of Radiodiagnosis by telecontral seriograph (Prestilix, model 1600X, 1000 MA, 130 KV � GE). The table for radiological exam (Prestilix, model 1600X), was positioned in 90 degrees for this exam. The images were transmitted to a video monitor (Sony, model PVM-95E) and the exams were recorded in a video and digitized afterwards. The children were sitting down in lateral vision to the X-ray equipment, and they were offered 5 ml of water mixed in the proportion of 50% of barium sulfate and 50% of water a spoon. Apple flavored barium sulfate contrast 100% (Cristalia, Brazil) was used idem.
For the assessment of the swallowing process we used the protocol according to Logemann (1983),9 which analyzes the labial sealing, previous oral leak, tongue-palate contact, oral ejection, oral cavity stasis, oral transit time, posterior oral leak, nasal escape, stasis in the valeculae, stasis in the pharynx, pharyngeal transit time, laryngeal elevation, presence of penetration and/or aspiration, cough and use of compensatory maneuvers. 
Normative data were based on literature, as normal pattern of swallowing dynamics are already well established. The inclusion of a control group composed by healthy children was not permitted by the local Ethics Commissions, as exposure to radiation was considered unnecessary and harmful.

Statistical analisys
Data were described in medium and standard deviation for age and post-operative time. Findings of the swallowing dynamics were described in their frequency (%).  There was analyzed a possible correlation of post-operative time to the findings of videofluoroscopy.

Ethical considerations
The present study was approved by the Ethics Committee at Botucatu Medical School/UNESP and the evaluation was carried out after the agreement of parents and responsible for children regarding their written informed consent. 

Results
Out of 89 evaluated children, 44 were male, average age of 12 years standard deviation, varying between minimum age of 7 and maximum of 19 years old. Post-operative time varied between 3 to 8 years, and the surgical age average was 5 years old. 
In videofluoroscopy, 51.6% of the children presented labial leak during the swallowing, only 1 child presented oral leak before the offer; 88.7% presented adequate oral ejection; 85% stasis in oral cavity and 98,8% adequate transit time. It was also observed that there was not a posterior oral leak in 86 children; 46 presented stasis in the valecullae and 6 in the pharynx, and 59.9% of the children made spontaneous maneuvers with head back during swallowing (Table 1). The children presented a pharyngeal elevation and pharyngeal transit time adequate and did not present cough, penetration and nasal leak of the consistency offered.
Table 1 about here

Discussion
The biological function of the upper airways structures is to promote the passage of air and food from oral cavity to oropharynx, however because if such dynamic will be damaged, that generates symptoms of dysphagia for interfering in the pharyngeal phase of swallowing by mechanical obstruction or incoordination between breathing and swallowing. Authors such as Jobin et al (2007)16 refer that alterations of oropharyngeal sensitivity, are associated to the attenuation of modulatory inputs of the reflex and central control of swallowing. 
The adenotonsillectomy is a commom surgical procedure in the pediatric population, being recommended as a �gold standard� treatment for the obstructive breathing disorders during children�s sleep. With oral breathing from nasal obstruction, the children present sagging muscles and alteration of habitual position of the orofacial structures17 that can interfere directly in swallowing. Although 51.6% of the children in the present study presented labial leak during swallowing, the lack of effective labial leak during swallowing in the rest of sample can favour the decreasing of intraoral pressure and consequently, the decrease of sensitivity and coordination of the phases of swallowing.
Despite the good performance of oral ejection, there was an important stasis rate in oral cavity. During the videofluoroscopy, it was possible to identify that 59.5% of children made spontaneous maneuvers with head back during swallowing. Such posture favors bigger food gravity towards the pharynx,9 therefore, due to the fact that the evaluated children were healthy, without neurological and/or mental  problems, more than a half of the sample showed head back as a compensatory mechanism that is why the good performance of oral injection is justified. 
Concerning the stasis in the oral cavity, factors such as decreasing of intraoral sensitivity and hypo functioning of buccinators muscles and coordination of tongue movements are keep as agents or favors of residues in intraoral region. Branco et al (2007)2 explain the head projection may cause changes in the tongue tension, buccinators and suprahyoid musculature and corroborating by the present sample, it is possible to infer that children with oral breathing, even in long term, present changes in the functionality of stomatognathic system.
The swallowing changes found in such sample can be directly connected to oral, laryngeal and pharyngeal musculature incoordination. Since the preparatory/oral phase, the muscular and position of orofacial structures were inadequate and interfering in the pharyngeal phase of swallowing it is possible to check it in the 46 children that presented stasis in the valleculae. Although the time of pharyngeal transit found in the sample had been adequate, as well as the pharyngeal elevation (these ones, when reduced, can be related to stasis in the food in the valleculae), the stasis in the valleculae found can be related to the incoordination of cricopharyngeal muscle, inefficient bolos propulsion due to the decrease of strength of genioglossus muscled, reduced moviment of the base of tongue,18 and exhaust pressure in the moment of swallowing. 
By the findings of the present study, it is possible to check that even after the removal of tonsillae, the sequels in the orofacial organs and in the vital functions of individuals, such as swallowing continue for a long term, which is why it is essential to follow up of the patient. 
We concluded that persistent changes the dynamics of swallowing were common. Only the surgery is not determining for the complete improvement of the patient with obstructive breathing disorders during sleep due to hypertrophy of the tonsils. However, we strongly recommend follow-up composed of multidisciplinary evaluations involving the oral functions such as swallowing. 
Declaration of interest: The authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper.

Aknowledgements
We thank the employees of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery Department. Botucatu Medical School/UNESP, Botucatu, S�o Paulo, Brazil por all the help during the experimental period.

References 
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2. Branco A, Ferrari GF, Weber SAT. Altera�es orofaciais em doen�as al�rgicas de vias a�reas. Rev Paul Pediatr 2007;25:266-270.
3. Marcus CL. Pathophysiology of childhood obstructive sleep apnea: current concepts. Respir Physiol 2000;119:143-154. 
4. Vaiman M, Krakovsky D, Eviatar E. The influence of tonsillitis on oral and throat muscles in children. Int J Pediatr Otorhinolaryngol 2006;70:891-898. 
5. Nieminen P, Tolonen U, Lopponen H. Snoring and obstructive sleep apnea in children: a 6-month follow-up study. Arch Otolaryngol Head Neck Surg 2000;126:481-486.
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