{
    "abstract": "To evaluate laryngeal penetration and aspiration in upright and side-lying positions in children with unilateral vocal cord paralysis (VCP) who underwent modified barium swallow study (MBSS).\nA retrospective chart review (Pro00089051) of pediatric patients who were diagnosed with unilateral VCP and underwent MBSS was performed. Patients were identified using diagnostic code for VCP and based on diagnosis via flexible laryngoscopy. Once identified, MBSS notes were reviewed for data regarding laryngeal penetration, tracheal aspiration, and body position during the exam. Information was collected on the various consistencies of liquids used. The order of positioning was recorded in patients who had undergone both positions during the study. Data was analyzed using chi-square analysis.\n811 patients had undergone MBSS between 2011 and 2014. Of these, 90 patients were isolated with unilateral VCP, and of those 90 patients, 23 (26%) had undergone MBSS in both side-lying and upright positions. When all 90 patients were evaluated, there was no difference in penetration or aspiration noted in the side-lying or upright position with thin liquids. Importantly, among the 23 (26%) patients that had been studied in both positions, there were no significant differences in penetration or aspiration relating to body position with any consistency.\nRates of penetration and aspiration were not associated with body position in patients who had undergone MBSS at our institution. However, due to an incomplete data set and a small sample size of those who underwent MBSS in both positions, these results should be further explored in prospective studies.",
    "authors": [
        {
            "affiliation": "Department of Otorhinolaryngology, Medical University of South Carolina, Charleston, United States of America.\nCollege of Medicine, Medical University of South Carolina, Charleston, United States of America.",
            "firstname": "Neil",
            "initials": "N",
            "lastname": "Monaghan"
        },
        {
            "affiliation": "Department of Speech Language Pathology, Medical University of South Carolina, Charleston, United States of America.",
            "firstname": "Heather",
            "initials": "H",
            "lastname": "McGhee"
        },
        {
            "affiliation": "Department of Otorhinolaryngology, Medical University of South Carolina, Charleston, United States of America.",
            "firstname": "Erick",
            "initials": "E",
            "lastname": "Yuen"
        },
        {
            "affiliation": "Department of Otorhinolaryngology, Medical University of South Carolina, Charleston, United States of America.",
            "firstname": "Shaun A",
            "initials": "SA",
            "lastname": "Nguyen"
        },
        {
            "affiliation": "Department of Otorhinolaryngology, Medical University of South Carolina, Charleston, United States of America.",
            "firstname": "Clarice",
            "initials": "C",
            "lastname": "Clemmens"
        }
    ],
    "conclusions": "Rates of penetration and aspiration were not associated with body position in patients who had undergone MBSS at our institution. However, due to an incomplete data set and a small sample size of those who underwent MBSS in both positions, these results should be further explored in prospective studies.",
    "copyrights": "\u00a9Copyright 2023 by Turkish Otorhinolaryngology-Head and Neck Surgery Society / Turkish Archives of Otorhinolaryngology is published by Galenos Publishing House.",
    "doi": "10.4274/tao.2023.2023-8-5",
    "journal": "Turkish archives of otorhinolaryngology",
    "keywords": [
        "Vocal cord paralysis",
        "aspiration",
        "body position",
        "children",
        "feeding",
        "modified barium swallow study"
    ],
    "methods": null,
    "publication_date": "2024-05-24",
    "pubmed_id": "38784959\n17346567\n481043\n17638780\n31246739\n20046051\n8669680\n12184586\n11014880\n21773847\n21858715\n30408186\n23586518\n24476654\n36919839\n35709002\n36172446\n33152985",
    "results": "811 patients had undergone MBSS between 2011 and 2014. Of these, 90 patients were isolated with unilateral VCP, and of those 90 patients, 23 (26%) had undergone MBSS in both side-lying and upright positions. When all 90 patients were evaluated, there was no difference in penetration or aspiration noted in the side-lying or upright position with thin liquids. Importantly, among the 23 (26%) patients that had been studied in both positions, there were no significant differences in penetration or aspiration relating to body position with any consistency.",
    "title": "Effects of Body Positioning on Laryngeal Penetration and Aspiration in Children with Unilateral Vocal Cord Paralysis.",
    "xml": "<Element 'PubmedArticle' at 0x788502d45580>"
}