Abstract
This paper sets out the issues encountered by speech-language pathologists (SLPs) when working with children with dysphagia in neuro-oncology. There is little evidence documented on the likely presentation in children with brain tumors and the long-term outcomes for children's eating and drinking. Therefore, the authors in this paper outline their experiences of supporting children post-surgery, during chemotherapy and radiotherapy, and in end of life with regard to their feeding. This is a discussion piece based on clinician experience in the field and supported by referenced evidence from relevant texts. It focuses on neuro-oncology; posterior fossa tumors, complications that arise post-surgery, pontine tumors, feeding patterns in survivorship, and the impact of treatment regimens on oral intake. The article documents the type of difficulties seen in this population including the holistic management of dysphagia and aspiration risk, including the wider psycho-social and sensory-based feeding issues that can arise as a result of a child's cancer treatment.
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