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Amaz\u00f4nia), in partnership with the Nacional Council for Scientific and Technological Development","award":["CAPES\/PROAP 1247\/2022"],"award-info":[{"award-number":["CAPES\/PROAP 1247\/2022"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel","award":["#002\/2018"],"award-info":[{"award-number":["#002\/2018"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel","award":["#062.01018\/2018"],"award-info":[{"award-number":["#062.01018\/2018"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel","award":["#51\/2019"],"award-info":[{"award-number":["#51\/2019"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel","award":["#400911\/2018-3n"],"award-info":[{"award-number":["#400911\/2018-3n"]}]},{"name":"Coordination for the Improvement of Higher Education Personnel","award":["CAPES\/PROAP 1247\/2022"],"award-info":[{"award-number":["CAPES\/PROAP 1247\/2022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Viruses"],"abstract":"<jats:p>Oropharyngeal dysphagia (OD) is a swallowing disorder that involves difficulty in safely passing the food bolus from the oral cavity to the stomach. OD is a common problem in children with congenital Zika virus syndrome (CZS). In this case series, we describe the clinical and acoustic alterations of swallowing in children exposed to the Zika virus during pregnancy in a cohort from Amazonas, Brazil. From July 2019 to January 2020, 22 children were evaluated, 6 with microcephaly and 16 without microcephaly. The mean age among the participants was 35 months (\u00b14.6 months). All children with microcephaly had alterations in oral motricity, mainly in the lips and cheeks. Other alterations were in vocal quality, hard palate, and soft palate. Half of the children with microcephaly showed changes in cervical auscultation during breast milk swallowing. In children without microcephaly, the most frequently observed alteration was in lip motricity, but alterations in auscultation during the swallowing of breast milk were not observed. Regarding swallowing food of a liquid and pasty consistency, the most frequent alterations were incomplete verbal closure, increased oral transit time, inadequacy in capturing the spoon, anterior labial leakage, and increased oral transit time. Although these events are more frequent in microcephalic children, they can also be seen in non-microcephalic children, which points to the need for an indistinct evaluation of children exposed in utero to ZIKV.<\/jats:p>","DOI":"10.3390\/v15122363","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T07:44:42Z","timestamp":1701330282000},"page":"2363","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical and Acoustic Alterations of Swallowing in Children Exposed to Zika Virus during Pregnancy in a Cohort in Amazonas, Brazil: A Case Series Study"],"prefix":"10.3390","volume":"15","author":[{"given":"Cristina de Souza","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Postgraduate Program in Tropical Medicine (PPGMT), University of Amazonas State (UEA), Manaus 69040-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4434-9040","authenticated-orcid":false,"given":"Raillon Keven Santos","family":"Souza","sequence":"additional","affiliation":[{"name":"Northern University Center (UniNorte), Manaus 69020-160, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosmo Vieira","family":"Rocha Neto","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8908-2190","authenticated-orcid":false,"given":"Rodrigo Haruo","family":"Otani","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel de Medeiros","family":"Batista","sequence":"additional","affiliation":[{"name":"School of 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(PPGMT), University of Amazonas State (UEA), Manaus 69040-000, Brazil"},{"name":"Department of Maternal and Child Health, Medical School, Federal University of Amazonas, Manaus 69020-160, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Djane Clarys","family":"Baia-da-Silva","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Tropical Medicine (PPGMT), University of Amazonas State (UEA), Manaus 69040-000, Brazil"},{"name":"School of Health Sciences, University of Amazonas State, Manaus 69065-001, Brazil"},{"name":"Faculty of Pharmacy, University Nilton Lins, Manaus 69058-030, Brazil"},{"name":"Le\u00f4nidas & Maria Deane Institute, Fiocruz Amazonia, Manaus 69057-070, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana Gomes","family":"Benzecry","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Amazonas State, Manaus 69065-001, 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