Laryngopharyngeal dysfunction independent of vocal fold palsy in infants after aortic arch interventions Ryan R. Davies, MD, Stephanie W. Carver, APN,

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Presentation transcript:

Laryngopharyngeal dysfunction independent of vocal fold palsy in infants after aortic arch interventions Ryan R. Davies, MD, Stephanie W. Carver, APN, Richard Schmidt, MD, Heather Keskeny, MA, CCC-SLP, Jeanine Hoch, MA, CCC- SLP, Christian Pizarro, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 2, Pages 617-624.e2 (August 2014) DOI: 10.1016/j.jtcvs.2013.05.054 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative oral feeding evaluations; B, postoperative fiber optic laryngoscopy; C, postoperative oral feeding evaluation; D, postoperative modified barium swallow. In each section, the lower half of the graph demonstrates all patients including those not evaluated (white), normal (gray), and abnormal (black) examinations. The upper half illustrates only the patients undergoing the specified evaluation. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 617-624.e2DOI: (10.1016/j.jtcvs.2013.05.054) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier survival estimates after surgical repair. A, Patients are stratified by the findings on preoperative oral feeding evaluation (OFE) into 2 groups. Group 1 includes patients who had an abnormal examination or were intubated preoperatively (dotted line). Group 2 includes those patients who were not intubated and had a normal preoperative examination (solid line) (P = .07). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 617-624.e2DOI: (10.1016/j.jtcvs.2013.05.054) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Receiver-operator curve (ROC) of the model predicting inability to tolerate full oral feeds at discharge using only preoperative variables. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 617-624.e2DOI: (10.1016/j.jtcvs.2013.05.054) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions