{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:56:05Z","timestamp":1780098965910,"version":"3.54.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:00:00Z","timestamp":1688947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n                    Feeding abnormalities, swallowing dysfunction, and gastrointestinal issues cause poor weight gain, oral motor dysfunction, and air swallowing in children with Rett syndrome (RTT). Pneumonia is the leading cause of death. Our study describes fiberoptic endoscopic swallowing findings in 11 female RTT children. Each patient was evaluated using the 8-point Penetration\/Aspiration Scale (PAS). The average age was 7 years. All patients had tongue dyskinesis and prolonged oral stage. Eight girls exhibited liquid entering the airway without coughing, whereas 6 did well with pureed meal. Three girls had pneumonia. Age was not correlated with pneumonia episodes (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .18). Pureed material was related with pneumonia (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .006), whereas liquids were not. Pureed PAS was positively correlated with Liquid PAS (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .008) and age (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .004). All aspiration\/penetration incidents occurred before the pharyngeal phase. No patient under 7 years experienced pneumonia episodes. Silent aspiration can occur early in infancy, although pneumonia episodes can occur later.\n                  <\/jats:p>","DOI":"10.1177\/00099228231184673","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T03:30:05Z","timestamp":1688959805000},"page":"551-556","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Fiberoptic Endoscopic Evaluation of Swallowing Findings in Children With Rett Syndrome"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5748-091X","authenticated-orcid":false,"given":"Giorgos","family":"Sideris","sequence":"first","affiliation":[{"name":"2nd Otolaryngology Department, \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6420-9415","authenticated-orcid":false,"given":"Evangelos","family":"Panagoulis","sequence":"additional","affiliation":[{"name":"2nd Otolaryngology Department, \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Grigoropoulos","sequence":"additional","affiliation":[{"name":"2nd Otolaryngology Department, \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Despina","family":"Mermiri","sequence":"additional","affiliation":[{"name":"Allergology and Pulmonology Unit, Penteli Children\u2019s Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Nikolopoulos","sequence":"additional","affiliation":[{"name":"2nd Otolaryngology Department, \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Delides","sequence":"additional","affiliation":[{"name":"2nd Otolaryngology Department, \u201cAttikon\u201d University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/13810."},{"issue":"37","key":"e_1_3_2_3_2","first-page":"723","article-title":"Uber ein eigenartiges hirnatrophisches Syndrom bei Hyperammon\u00e4mie im Kindersalter","volume":"116","author":"Rett A.","year":"1966","unstructured":"Rett A. Uber ein eigenartiges hirnatrophisches Syndrom bei Hyperammon\u00e4mie im Kindersalter [On a unusual brain atrophy syndrome in hyperammonemia in childhood]. Wien Med Wochenschr. 1966;116(37):723-726.","journal-title":"Wien Med Wochenschr"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrg3897."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.10020."},{"key":"e_1_3_2_6_2","unstructured":"Bernstein BA. Rett syndrome clinical presentation. Published July 15 2015. Accessed June 20 2023. http:\/\/emedicine.medscape.com\/article\/916377."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0012162200000463."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2006.264."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897."},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638280150504199."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9587-9."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.18295\/squmj.2018.18.04.010."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003489417723033."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07440.x."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31824b6159."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1159\/000369494."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31829e0b65."}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231184673","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228231184673","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231184673","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:32:51Z","timestamp":1777393971000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228231184673"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,10]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/00099228231184673"],"URL":"https:\/\/doi.org\/10.1177\/00099228231184673","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,10]]}}}