International pediatric otolaryngology group (IPOG) consensus on approach to aspiration

Bshair Aldriweesh¹, Ahmed Alkhateeb², An Boudewyns³, Ching Yee Chan⁴, Robert H Chun⁵, Hamdy G El-Hakim⁶, Pierre Fayoux⁷, Mark E Gerber⁸, Sohit Kanotra⁹, Kimberley Kaspy¹⁰, Haytham Kubba¹¹, Elton M Lambert¹², Romain Luscan¹³, Sanjay R Parikh¹⁴, Reza Rahbar¹⁵, Scott M Rickert¹⁶, John Russell¹⁷, Mike Rutter¹⁸, James W Schroeder Jr¹⁹, Yehuda Schwarz²⁰, Steven E Sobol²¹, Ravi Thevasagayam²², Briac Thierry¹³, Dana M Thompson¹⁹, Taher Valika¹⁹, Karen Watters¹⁵, Julie L Wei²³, Michelle Wyatt²⁴, Karen B Zur²¹, Sam J Daniel²⁵

Affiliations

¹ Division of Otolaryngology-Head and Neck Surgery, Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada; Department of Otolaryngology-Head & Neck Surgery, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.
² Department of Otolaryngology-Head & Neck Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
³ Department of Otolaryngology Head and Neck Surgery, Antwerp University Hospital, University of Antwerp Faculty of Medicine and Translational Neurosciences, Antwerp, Belgium.
⁴ Department of Otolaryngology, KK Women's and Children's Hospital, Singapore.
⁵ Department of Otolaryngology, Medical College of Wisconsin, United States.
⁶ Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta and the Stollery Children's Hospital, Edmonton, Alberta, Canada; Division of Pediatric Surgery, Department of Pediatrics, University of Alberta and the Stollery Children's Hospital, Edmonton, Alberta, Canada.
⁷ Department of Pediatric Otolaryngology-Head Neck Surgery, Jeanne de Flandre Hospital, CHU Lille, Université de Lille, Lille, France.
⁸ Division of Otolaryngology, Head & Neck Surgery, Phoenix Children's Hospital, Phoenix, AZ, United States.
⁹ Department of Otolaryngology - Head & Neck Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, United States.
¹⁰ Division of Respiratory Medicine, Montreal Children's Hospital, Montreal, Quebec, Canada.
¹¹ Department of Paediatric Otolaryngology, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, Scotland, United Kingdom.
¹² Division of Otolaryngology, Department of Surgery, Texas Children's Hospital, Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, 6701 Fannin Street, D.640, Houston, TX, 77030, United States.
¹³ Department of Pediatric ENT, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris University, 149, rue de Sèvres, 75015, Paris, France.
¹⁴ Department of Otolaryngology Head and Neck Surgery, Seattle Children's Hospital, University of Washington, Seattle, United States.
¹⁵ Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, United States; Department of Otolaryngology, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, United States.
¹⁶ Department of Otolaryngology, New York University Langone Medical Center, New York, NY, 10016, United States.
¹⁷ Department of Pediatric Otolaryngology Children's Health Ireland (Crumlin), Dublin, Ireland.
¹⁸ Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
¹⁹ Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
²⁰ Department of Otolaryngology- Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel.
²¹ Division of Pediatric Otolaryngology, Children's Hospital of Philadelphia, Department of Otorhinolaryngology: Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, Pennsylvania, United States.
²² Sheffield Children's Hospital, Western Bank, Sheffield, South Yorkshire, S10 2TH, United Kingdom.
²³ Chair, Otolaryngology Education, University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, United States.
²⁴ Department of Paediatric Otolaryngology, Great Ormond Street Hospital, London, United Kingdom.
²⁵ Division of Otolaryngology-Head and Neck Surgery, Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: sam.j.daniel@mcgill.ca.

PMID: 38147730
DOI: 10.1016/j.ijporl.2023.111810

International pediatric otolaryngology group (IPOG) consensus on approach to aspiration

Bshair Aldriweesh et al. Int J Pediatr Otorhinolaryngol. 2024 Jan.

. 2024 Jan:176:111810.

doi: 10.1016/j.ijporl.2023.111810. Epub 2023 Dec 12.

Authors

Affiliations

¹ Division of Otolaryngology-Head and Neck Surgery, Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada; Department of Otolaryngology-Head & Neck Surgery, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.
² Department of Otolaryngology-Head & Neck Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
³ Department of Otolaryngology Head and Neck Surgery, Antwerp University Hospital, University of Antwerp Faculty of Medicine and Translational Neurosciences, Antwerp, Belgium.
⁴ Department of Otolaryngology, KK Women's and Children's Hospital, Singapore.
⁵ Department of Otolaryngology, Medical College of Wisconsin, United States.
⁶ Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Alberta and the Stollery Children's Hospital, Edmonton, Alberta, Canada; Division of Pediatric Surgery, Department of Pediatrics, University of Alberta and the Stollery Children's Hospital, Edmonton, Alberta, Canada.
⁷ Department of Pediatric Otolaryngology-Head Neck Surgery, Jeanne de Flandre Hospital, CHU Lille, Université de Lille, Lille, France.
⁸ Division of Otolaryngology, Head & Neck Surgery, Phoenix Children's Hospital, Phoenix, AZ, United States.
⁹ Department of Otolaryngology - Head & Neck Surgery, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA, 52242, United States.
¹⁰ Division of Respiratory Medicine, Montreal Children's Hospital, Montreal, Quebec, Canada.
¹¹ Department of Paediatric Otolaryngology, Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, Scotland, United Kingdom.
¹² Division of Otolaryngology, Department of Surgery, Texas Children's Hospital, Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, 6701 Fannin Street, D.640, Houston, TX, 77030, United States.
¹³ Department of Pediatric ENT, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris University, 149, rue de Sèvres, 75015, Paris, France.
¹⁴ Department of Otolaryngology Head and Neck Surgery, Seattle Children's Hospital, University of Washington, Seattle, United States.
¹⁵ Department of Otolaryngology & Communication Enhancement, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, United States; Department of Otolaryngology, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, United States.
¹⁶ Department of Otolaryngology, New York University Langone Medical Center, New York, NY, 10016, United States.
¹⁷ Department of Pediatric Otolaryngology Children's Health Ireland (Crumlin), Dublin, Ireland.
¹⁸ Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
¹⁹ Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
²⁰ Department of Otolaryngology- Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel.
²¹ Division of Pediatric Otolaryngology, Children's Hospital of Philadelphia, Department of Otorhinolaryngology: Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania, Pennsylvania, United States.
²² Sheffield Children's Hospital, Western Bank, Sheffield, South Yorkshire, S10 2TH, United Kingdom.
²³ Chair, Otolaryngology Education, University of Central Florida College of Medicine, 6850 Lake Nona Blvd, Orlando, FL, 32827, United States.
²⁴ Department of Paediatric Otolaryngology, Great Ormond Street Hospital, London, United Kingdom.
²⁵ Division of Otolaryngology-Head and Neck Surgery, Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: sam.j.daniel@mcgill.ca.

PMID: 38147730
DOI: 10.1016/j.ijporl.2023.111810

Abstract

Objective: To provide recommendations for a comprehensive management approach for infants and children presenting with symptoms or signs of aspiration.

Methods: Three rounds of surveys were sent to authors from 23 institutions worldwide. The threshold for the critical level of agreement among respondents was set at 80 %. To develop the definition of "intractable aspiration," each author was first asked to define the condition. Second, each author was asked to complete a 5-point Likert scale to specify the level of agreement with the definition derived in the first step.

Results: Recommendations by the authors regarding the clinical presentation, diagnostic considerations, and medical and surgical management options for aspiration in children.

Conclusion: Approach to pediatric aspiration is best achieved by implementing a multidisciplinary approach with a comprehensive investigation strategy and different treatment options.

Keywords: Aspiration; Child; Delphi method; Infant.

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Conflict of interest statement

Declaration of competing interest None declared

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International pediatric otolaryngology group (IPOG) consensus on approach to aspiration

Affiliations

International pediatric otolaryngology group (IPOG) consensus on approach to aspiration

Authors

Affiliations

Abstract

Conflict of interest statement

MeSH terms

LinkOut - more resources

Full Text Sources