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BackTable / ENT / Podcast / Episode #132

Challenges and Innovations in Pediatric Dysphagia Management

with Dr. Nikhila Raol

In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Nikhila Raol, pediatric otolaryngologist at Children’s Healthcare of Atlanta and Associate Professor at Emory University, discuss management of pediatric dysphagia.

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Challenges and Innovations in Pediatric Dysphagia Management with Dr. Nikhila Raol on the BackTable ENT Podcast)
Ep 132 Challenges and Innovations in Pediatric Dysphagia Management with Dr. Nikhila Raol
00:00 / 01:04

BackTable, LLC (Producer). (2023, September 26). Ep. 132 – Challenges and Innovations in Pediatric Dysphagia Management [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Nikhila Raol discusses Challenges and Innovations in Pediatric Dysphagia Management on the BackTable 132 Podcast

Dr. Nikhila Raol

Dr. Nikhila Raol is a pediatric otolaryngologist at Emory University School of Medicine.

Dr. Gopi Shah discusses Challenges and Innovations in Pediatric Dysphagia Management on the BackTable 132 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Synopsis

First, Nikhila explains her educational background, starting from training in Texas to going to Atlanta to join Children’s Healthcare of Atlanta. Previously, she spent time in Boston getting her Masters of Public Health because she wanted to develop a niche focused on population health. This degree then sparked the idea of focusing on swallowing disorders in the pediatric population.

Then, Nikhila delves into how a child with dysphagia usually presents. These children typically have issues with breastfeeding, coughing, choking, and may even refuse food. In older children, they usually bring forth issues to their parents to prompt evaluation. Red flags to pay attention to in young children with dysphagia include weight loss and significant nasal congestion.

Next, Nikhila and Gopi discuss physical examination including evaluation of latch, tongue tie, nasal cavity and Nikhila’s tips for performing a FEES (Fiberoptic Endoscopic Evaluation of Swallow) in infants. Nikhila also mentions the value of having an SLP (Speech Language Pathologist) for every patient with dysphagia and involving GI colleagues to broaden her workup of complicated patients. The episode concludes with a discussion on how to choose between various treatment modalities such as injection or repair of a laryngeal cleft, and Nikhila’s Fulbright project happening in India.

Transcript Preview

[Dr. Nikhila Raol] I once had someone say to me, dysphagia is not an emergency. Absolutely, I agree with that statement, but I do think of it as somewhat of an urgency because now I see these kids in the whole spectrum of pediatric feeding disorder when if we don't manage the dysphagia early, then it starts to become behavioral in nature because it doesn't feel good. It's either a lot of work to feed or it's going the wrong way or things like that has really changed how I support these families and also the urgency with which we do something for them.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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