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Aspiration of materials into the lower respiratory tract can be both a chronic and an acute problem in children. Because the respiratory and gastrointestinal tracts share a common site of origin, and because of the complex interplay among breathing, chewing, and swallowing, the aspiration of both intrinsic and extrinsic oral contents can be more prevalent in children. The clinical picture of aspiration and aspiration-related lung disease depends on the amount and type of material aspirated, as well as timing; therefore, a child can present with an acutely life-threatening event, with recurrent respiratory disease, or with subclinical disease. The 3 major...

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