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Aspiration from above requires a videoflouroscopic swallow or a modified barium swallow test and a endoscopic swallow evaluation
Studies for evaluation These studies are required in children who are suspected of having aspiration from above (food or saliva getting into the child’s windpipe). This is usually seen in children with neurological problems like cerebral palsy , neurodegenerative disorders, Neuromuscular disorders, etc. Aspiration from above would lead to

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The characteristics of foreign bodies aspirated by children across different continents: A comparative review - Parvar - 2023 - Pediatric Pulmonology - Wiley Online Library

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