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Page 58
Volume 09 Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries.com
August 15-17, 2019 Rome, Italy
&
3rd International Conference on Craniofacial Surgery
4th European Otolaryngology-ENT Surgery Conference
The impact of Gastroesophageal reflux on breastfeeding and the development of oral functions
Roseane Rebelo S. Meira
Philippine General Hospital, Philippines
The Gastroesophageal reflux (GER) or the gastroesophageal reflux disease (GERD), whether primary or
secondary to some pathology, act on the larynx esophageal area, causing inflamations and irritability on the
baby. As a consequence, there is a significant alteration on the sensibility of the pharyngeal larynx region (Suskind,
2006) and intraoral hypersensitivity (Meira, 2017), which may result in dysfunction on swallowing and disorders of
suction force, compromising the effectiveness of breastfeeding. Since there is an alteration on the sensibility of the
oropharyngeal musculature, it is posible to observe earlyweaning or the impairment of the beginning of breastfeeding,
difficulty in weight gain, difficulties in feeding introduction, food refusal behavior and/or food selectivity, difficulties
in the development of the chewing function, disorders in facial skull development and disorders in nasal respiratory
function. Speech therapy can rapidly work on this sensitivity, allowing the adequacy of oral functions. In some
cases, when there is no positive therapeutic response, the speech therapy work can become an important tool for
diagnosing diseases such as GERD, food allergies, eosinophilic esophagitis (EoE), etc.
Recent Publications
1. Meira, RRS, Speechtherapist: when to indicate?. Coordenators: Chiba, SM, Alvarez, AE, Bolonetti, LSM. in
Pediatrician pneumology, Atheneu, RJ, 33: 367-372, 2019.
2. Meira, RRS, Nakamura, C, Gonçalves, PMP, Monteiro, P, Prematurity and the speech therapy work, to be
published in june/2019.
3. Meira, RRS, Gonçalves, PMP, Maunsell, R, Favaro, MMA. Laryngomalacea and Babies Swallowing Disorders.
4. Meira, RRS, Marciano, DMF, Consequences of the GER and APLV on Pediatric and Speechtherapy Clinic. A
case report. Published in V International Neonatology Congress. 2018.
5. Meira, RRS, Puccinni, F, Sucction Pattern and the nipple confusion. file:///C:/Users/Roseane/Downloads/
Anais-Confus%C3%A3o%20de%20bicos.pdf
Biography
Dr. Roseane Rebelo S. Meira is a speechtherapist specialized in swallowing disorders with several international courses. She has been seeing baby pacients
for 27 years with large experience in breastfeeding and cheewing issues. She has been teaching in neonatology courses for speechtherapists for 15 years,
contributing to the training of new professionals.
Roseane Rebelo S. Meira, Otolaryngol (Sunnyvale) 2019, Volume 09