Swallowing Videofluorography Visual Biofeedback in a School-Age Child with Psychogenic Dysphagia

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  • Endo Takuya
    Department of Otorhinolaryngology-Head and Neck Surgery, Tohoku University School of Medicine Department of Otorhinolaryngology, Kesen-numa City Hospital
  • Honkura Yohei
    Department of Otorhinolaryngology-Head and Neck Surgery, Tohoku University School of Medicine Department of Otorhinolaryngology, Kesen-numa City Hospital
  • Katori Yukio
    Department of Otorhinolaryngology-Head and Neck Surgery, Tohoku University School of Medicine

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Other Title
  • 嚥下造影検査による バイオフィードバック が有効と考えられた小児心因性嚥下障害例
  • エンカゾウエイ ケンサ ニ ヨル バイオフィードバック ガ ユウコウ ト カンガエラレタ ショウニシンインセイエンカ ショウガイレイ

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Abstract

<p>　 Psychogenic dysphagia is defined as food avoidance and excessive fear of eating without identifiable anatomic or functional swallowing abnormalities. No unified diagnostic criteria or disease concept have been established for this condition. Although cognitive-behavioral therapy has been reported as being effective in many cases, there is no consensus on the most suitable modality of treatment. We report on a case of psychogenic dysphagia in a school-aged child in whom biofeedback using visual information from swallowing videofluorography proved effective.</p><p>　 An 8-year-old girl patient was referred to our department with the chief complaint of dysphagia. We suspected psychogenic dysphagia because the symptoms appeared after she heard an episode of an accident in which the child choked to death on a piece of bread. Swallowing videofluorography was performed in the presence of the parents to rule out organic disease, since the parents also reported a weight loss in the patient of 3 kg, along with vomiting and difficulty in drinking; the patient's symptoms improved following the test.</p><p>　 Experience with psychogenic dysphagia in a child who was considered as having benefitted from swallowing videofluorography as a diagnostic procedure.</p><p>　 Swallowing videofluorography can be a useful management tool in children with psychogenic dysphagia as it provides direct visualization of the oropharyngeal swallowing mechanism. This can be used to provide visual reassurance and biofeedback to patients and parents.</p>

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