ABSTRACT
Temporal coordination of deglutition and respiration is essential for survival because
both functions share the pharynx as a common pathway. Disruptions in this interface
in young infants may result in dysphagia that may lead to aspiration and injury to
the developing lung. Likewise, respiratory problems may contribute to the development
of swallowing problems.
This article focuses on the coordination between swallowing and breathing in infants
and children, aspiration during periods of postnatal lung development and airway protective
mechanisms. Identification of infants and children at increased risk for oropharyngeal
dysphagia and respiratory disease is critical for optimal intervention. Assessment
and management considerations are described.
KEYWORDS
Deglutition - aspiration - pediatric - swallowing - breathing - lung injury
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Maureen A Lefton-GreifPh.D. CCC-SLP BRS-S
The David M. Rubenstein Child Health Building, Eudowood Division of Pediatric Respiratory
Sciences
Room 3017, 200 N. Wolfe Street, Baltimore, MD 21287
Email: mlefton@jhmi.edu
