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KMID : 1145820180010010045
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Swallowing Rehabilitation
2018 Volume.1 No. 1 p.45 ~ p.51
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Dysphagia in Children with CHARGE Syndrome
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Yang Hyo-Joon
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Abstract
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CHARGE syndrome is a rare disease that occurs in early fetal development and invades multiple organs. Most children with CHARGE syndrome have cranial nerve impairment and developmental delay, which is very likely to be accompanied by swallowing difficulties. It is also affecting the quality of life by repeated aspiration and pneumonia. However, systematic studies on swallowing disorder have not been conducted to date. We reviewed the related literature and examined the problems associated with dysphagia and CHARGE syndrome. Currently, CHD7, SEMA3E gene mutation, and chromosomal abnormality are reported as the cause of the CHARGE syndrome. The main symptoms are intraocular defects and cranial nerve abnormalities, ocular defects, heart defects, post-nasal closure, growth and developmental delay, genitourinary abnormalities, ear disorders and hearing loss. In particular, problems related to dysphagia include CN.Ⅰ,Ⅴ,Ⅶ,Ⅸ,Ⅹ,? and ?, and unstable breathing, tracheal stool, cleft lip and palate, posterior occlusion and posterior stenosis are associated with dysphagia. There was a case of functional improvement of functional dysphagia after functional electrical stimulation therapy. However, no results have been reported with conventional swallowing rehabilitation alone. Although the problem of dysphagia has improved with the progression of the child who has the febrile syndrome, it still suffers from difficulty in chewing and swallowing. Therefore, we should pay attention to proper growth through normal swallowing and improvement of quality of life.
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KEYWORD
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CHARGE syndrome, Dysphagia, Electrical stimulation treatment for dysphagia
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