Clinical Characteristics of Oral Structures and Feeding Function in Subacute Sclerosing Panencephalitis

Authors : Selen Serel Arslan, İpek Alemdaroğlu, Numan Demir, Aynur Ayşe Karaduman

Pages : 116-120

Doi:10.21653/tfrd.286779

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Publication Date : 2016-12-14

Article Type : Research Paper

Abstract :Purpose: The aim was to investigate the characteristics of oral structures and feeding in pa tients with Subacute Sclerosing Panencephalitis insert ignore into journalissuearticles values(SSPE);. Methods: Twenty SSPE patients were included. Clinical evaluation of oral structures and oral hygiene were performed. Each patient was requested to take liquid, pudding and solid food consistencies during feeding evaluation. The Karaduman Chewing Performance Scale insert ignore into journalissuearticles values(KCPS); was used to determine the level of chewing function. The 3-ounce water swallow test was used to screen patients for aspiration risk. Results: The mean age was 13.76±1.92 years, of which 55% were male. Seven children insert ignore into journalissuearticles values(35%); had open mouth posture at rest, 5 insert ignore into journalissuearticles values(25%); had open bite, 12 insert ignore into journalissuearticles values(60%); had high arched palate, and 8 insert ignore into journalissuearticles values(40%); had tongue thrust. Eighteen children insert ignore into journalissuearticles values(90%); had oral hygiene problems. Feeding positions were variable with 1 child fed in supine, 6 in semi-sitting position, and 13 in upright sitting position. Findings during clinical feeding evaluation revealed the following: food acceptance insert ignore into journalissuearticles values(20, 100%);, liquid intake insert ignore into journalissuearticles values(20, 80%);, pudding intake insert ignore into journalissuearticles values(17, 85%);, and solid food intake insert ignore into journalissuearticles values(5, 25%);. Five children insert ignore into journalissuearticles values(25%); were in level I, 7 children insert ignore into journalissuearticles values(35%); were in level II, 3 children insert ignore into journalissuearticles values(15%); were in level III, and 5 children insert ignore into journalissuearticles values(25%); were in level IV according to the KCPS. Four children insert ignore into journalissuearticles values(25%); failed in 3 ounce water swallow test. Discussion: Problems with oral structures, oral hygiene, chewing and swallowing function can be seen in SSPE patients. Thus, clinical oral structure and feeding functions should be conside red to evaluate in routine evaluation procedure in patients with SSPE. 
Keywords : Subacute Sclerosing Panencephalitis, feeding, chewing, deglutition, deglutition disorders