الفهرس 
T HE A NATOMY AND P HYSIOLO GY OF N ORMAL AND A BNORMAL S WALLOWINGOnly 14 pages are availabe for public view
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Abstract
ABSTRACT
Objective: The aim of this study to screen palatopharyngeal incoordination in infants who needed mechanical ventilation.
Material and methods: This study included 51 patients at the pediatric intensive care unit, Faculty of Medicine Ain Shams University The study was conducted during the period from February 2021 to February 2022. patients were classified into according to a Fiberoptic Flexible Endoscopic Evaluation of Swallowing (FEES) post intubation, FEES post extubation, Videofluoroscopic Swallow Study (VFSS) post extubation and dye study into five groups: group (1) the not affected group, group (2) the palatopharyngeal incoordination group, group (3) The palatopharyngeal incoordination with gastro esophageal reflux group, group (4) The reflux group, group (5) The congenital upper air way anomalies group.
Results: Palatopharyngeal incoordination was detected in 16 patients (31.3%), congenital upper airway anomalies were in 12 patients (23.5%), and gastroesophageal reflux only was detected in 10 patients (19.6%). VFSS and FEES After three months, 92.3 % of palatopharyngeal incoordination patients had resolved incoordination, and 7.7 % had silent aspiration.
Conclusion: Palatopharyngeal incoordination is multifactorial with the important implications for the early diagnosis and the early interventions to treat palatopharyngeal incoordination in pediatric patients.