174 CHAPTER 8 Table 1. Demographics. Pat. no. Male/ Female Diagnosis Comorbidity Feeding Mental age Head position Dysarthria Drooling Treatment before primary surgery Surgical treatment (primary- secondarytertiary intervention) (age) 1 F CP: GMFCS 5 bilateral spastic Scoliosis, GERD Oral + feeding tube <4 y Variable Anarthria Anterior BoNT-A SMG (2x), BoNT-A PGL&SMG (1x) 2DL (18 y) -SMGE (19 y) 2 M CP: GMFCS 5 bilateral spastic Epilepsy, GERD, lower respiratory tract infections Feeding tube <4 y Missing Anarthria Anteroposterior BoNT-A SMG (1x) 2DL (21 y) –SMGE (22 y) 3 F Wolf-Hirschhorn syndrome Epilepsy Feeding tube <4 y Normal Anarthria Anteroposterior BoNT-A SMG (1x) 2DL (9 y) –SMGE (10 y) 4 M CP: GMFCS 5 bilateral spastic Epilepsy, bronchitis Feeding tube <4 y Variable Very severe dysarthria Anteroposterior Anticholinergic medication 2DL+1PDL (19 y) – SMGE (20 y) 5 F CP: GMFCS 5 bilateral spastic/ dyskinetic Epilepsy, GERD Feeding tube 4-6 y (IQ < 70) Anteflexion Very severe dysarthria Anteroposterior BoNT-A SMG (1x) 2DL (11 y) –SMGE (12 y) 6 M CP: GMFCS 4, bilateral spastic Lower respiratory tract infections Oral <4 y Variable Very severe dysarthria Anteroposterior BoNT- A SMG (4x) 2DL (15 y) –SMGE (17 y) 7 M Developmental delay not classified Epilepsy, GERD, M. Perthes, scoliosis Oral <4 y Anteflexion Very severe dysarthria Anterior BoNT-A SMG (1x) 2DL (8 y) –SMGE (10 y) – 2PDL (10 y) 8 M CP: GMFCS 4, bilateral spastic None Oral >6 y Anteflexion Severe dysarthria Anterior BoNT-A SMG (1x), BoNT-A PGL&SMG (1x) SMDR (13 y) –1PDL (20 y) 9 F CP: GMFCS 4, bilateral spastic/ dyskinetic None Oral >6 y Missing Severe dysarthria Anteroposterior BoNT-A SMG (1x), BoNT-A PGL&SMG (1x) 2DL (10 y) –1PDL (12 y) 10 M CP: GMFCS 3, bilateral spastic Deafness Oral >6 y Normal Very severe dysarthria Anterior Behavioral therapy SMDR (19 y) –1PDL (23 y)
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