Clinical Management of Swallowing Disorders

Preface

Acknowledgments

Video List

 

Chapter 1. Introduction to and Epidemiology of Swallowing Disorders

Introduction 

Need for Early Intervention 

Epidemiology 

Summary

Discussion Questions 

Study Questions

References

 

Chapter 2. Anatomy and Physiology of the Swallowing Mechanism

Introduction 

Central Nervous System 

Peripheral Nervous System

Anatomy of the Swallowing Mechanism

The Normal Swallow

Cranial Nerves Involved in Swallowing

Sphincters

Central Neural Control of Swallowing

Respiration and Deglutition

Summary

Discussion Questions

Study Questions

References

 

Chapter 3. Swallowing Disorders Arising From Neurologic Disorders and Other Diseases

Introduction

Neurologic Disorders

Swallowing Disorders Found in Critical Care Patients

Esophageal Swallowing Disorders

Infectious Diseases

Medications and Swallowing Disorders

Swallowing Disorders Following Radiation Therapy

Autoimmune Disorders and Diseases

Summary

Discussion Questions

Study Questions

References

 

Chapter 4. Swallowing Disorders Following Surgical Treatments

Introduction

Anterior Cervical Spine Surgery

Neoplasms

Head and Neck Surgery

Skull Base Surgery

Tracheotomy

Zenker Diverticulum

Summary

Discussion Questions

Study Questions

References

 

Chapter 5. Clinical Evaluation of Swallowing Disorders

Introduction

Evidence-Based Practice

Multidisciplinary Dysphagia Team

Swallowing Screening

Clinical Swallow Evaluation

Silent Aspiration and the Clinical Swallow Examination

Summary

Discussion Questions

Study Questions

References

 

Chapter 6. Instrumental Evaluation of Swallowing Disorders

Introduction

Flexible Endoscopic Evaluation of Swallowing

Modified Barium Swallow

Modified Barium Swallow, Flexible Endoscopic Evaluation of Swallowing, and Silent Aspiration

Manometry and High-Resolution Manometry

Tongue Pressure/Strength Measurement

Other Instrumental Tests Associated With Swallowing Disorders

Summary

Discussion Questions

Study Questions

References

 

Chapter 7. Treatment of Swallowing Disorders

Introduction

Evidence-Based Practice

Multidisciplinary Approach to Swallowing Therapy

Oral Hygiene

Compensatory Swallowing Therapy

Rehabilitative Swallowing Therapy

Preventive Swallowing Therapy for Head and Neck Cancer Survivors

Other Swallowing Treatment Methods

Summary

Discussion Questions

Study Questions

References

 

Chapter 8. Nutrition and Diets

Introduction

Dietitian and Dysphagia

Properties of Liquids and Foods

Oral Nutrition and Dysphagia Diets

Nonoral Diets

Malnutrition and Dehydration

Summary

Discussion Question

Study Questions

References

 

Chapter 9. Swallowing in the Aging Population

Introduction

Aging Process Related to Swallowing

Changes in Swallowing

Dementia

Feeding Assistance

Nutrition in the Aging Population

Ethical Considerations

Summary

Discussion Question

Study Questions

References

 

Chapter 10. Pediatric Dysphagia: Assessment of Disorders of Swallowing and Feeding

Introduction

Definition

Etiology

Epidemiology

Anatomy of Swallowing and Feeding

Physiology of Swallowing and Feeding

Coordination of Apnea in Pediatric Swallowing

Classification of Dysphagia

Diagnosis

Assessment of Early Reflexes

Summary

Discussion Questions

Study Questions

References

 

Chapter 11. Treatment of Feeding and Swallowing Disorders in Infants and Children

Introduction

Pediatric Feeding Disorders

Feeding and Swallowing Behaviors

Treatment for Specific Disorders

Options and Considerations in the Treatment of Feeding Disorders in Infants and Children

Nonoral Feeding

Additional Factors in Infant Feeding and Swallowing

Summary

Discussion Questions

Study Questions

References

 

Chapter 12. Surgical Treatment and Prosthetic Management of Swallowing Disorders

Introduction

Rehabilitative Surgical Procedures

Palliative Surgical Procedures

Surgical Conclusions

Prosthetics

Prosthetics Conclusions

Summary

Discussion

Study Questions

References

 

 

Chapter 13. Case Studies

Introduction

Diagnosis

Instrumentation

Personnel

Facilities

Case Studies From Voice and Swallowing Centers

Summary

Discussion Questions

Study Questions

References

 

Glossary

Appendix 1. Reflux Symptom Index (RSI)

Appendix 2. Reflux Finding Score (RFS)

Appendix 3. Burke Dysphagia Screening Test

Appendix 4. The MD Anderson Dysphagia Inventory

Appendix 5. Eating Assessment Tool (EAT-10)

Appendix 6. Dysphagia Handicap Index (DHI)

Appendix 7. Voice Handicap Index-10 (VHI-10)

Appendix 8. Clinical Swallowing Examination Sample Form

Answers to Study Questions

Index

Clinical Management of Swallowing Disorders, Fifth Edition is a textbook for speech-language pathology programs that examines the diagnosis and treatment of swallowing disorders in children and adults. Thoroughly updated, this popular text emphasizes evidence-based practice, multidisciplinary team management, swallowing safety, nutrition, behavioral treatments, and management following surgical options. Authored by two speech-language pathologists and an otolaryngologist for a multidisciplinary approach, the Fifth Edition continues to be easy-to-understand text for students and also serves as an up-to-date reference for practicing clinicians who treat swallowing disorders in hospitals, rehabilitation centers, nursing homes, and private outpatient clinics.

The text comes with onlie supplementary materials, including instructor lecture slides, study flash cards, and downloadable versions of the appendicies.

• New chapter on the aging population
• The Anatomy and Physiology chapter has been thoroughly updated and 15 beautiful, new full color illustrations have been added
• More images and enhanced figures, including additional FEES and fluoroscopy video studies of swallowing disorders in head and neck cancer and stroke patients
• Many new references, easy-to-read tables, and “treatment hints”
• Information on pediatric feeding and swallowing has been updated and expanded
• Evidence-based practice methods have been updated
• Content has been edited to be more concise, applicable, and reader friendly

The text features numerous pedagogical aids to reinforce student understanding

• Case study inserts in many chapters and 9 extended case studies in the final chapter
• 32 videos
• Discussion questions and answers for each chapter
• Bolded and boxed key terms throughout with an end-of-book glossary
• Clinical tips, clinician’s roles, areas of emphasis, and key learning points highlighted in boxes throughout the chapters
• 8 appendices featuring helpful tests and tools for clinicians
• NEW full clinical swallowing examination record form included in appendix

Also Available
Clinical Management of Swallowing Disorders Workbook, Fifth Edition

Authors

Thomas Murry, PhD, CCC-SLP, is Professor and Co-Director of the Voice and Swallowing Center in the Department of Otolaryngology–Head and Neck Surgery at Loma Linda Health University and Adjunct Professor in the Department of Otolaryngology–Head and Neck Surgery at Drexel University College of Medicine. Dr. Murry received the Honors of the American Speech-Language-Hearing Association in 2010, the highest honor of the association, and also received a Presidential Citation from the American Laryngological Association. Dr. Murry is recognized throughout the world for his clinical, education, and research contributions to voice and swallowing disorders. He has authored over 150 peer-reviewed publications in national and international journals. He has presented over 600 lectures at national meetings and in meetings in more than 35 countries. He has championed the need for combined management of voice and swallowing disorders among otolaryngologists, pulmonologists, and other medical professions.

Dr. Ricardo Carrau joined the Department of Otolaryngology - Head & Neck Surgery Department at The Ohio State University as a tenured Professor in Otolaryngology - Head & Neck Surgery in April 2011. He is the Acting Chair of the Department, Director of the Comprehensive Skull Base Surgery Program, Co-Director of the research and education laboratory ALT-VISION (Anatomy Laboratory Toward Visuospatial Innovations in Otolaryngology and Neurosurgery) and Medical Director of The OSUMC Global Health. The Comprehensive Skull Base Surgery Program is part of the Head & Neck Oncology Division at The James Cancer Hospital and the Solove Research Institute at The Ohio State University Medical Center (OSUMC) with ties to the Divisions of Rhinology and Neuro-Otology.

Dr. Carrau’s clinical interests are diverse and include swallowing disorders, traditional and endoscopic skull base surgery, head and neck oncology, disorders of the salivary glands and sialendoscopy, disorders of the paranasal sinuses and endoscopic sinus surgery and laryngotracheal stenosis.

Karen Chan, PhD, is an Assistant Professor and Director of the Swallowing Research Laboratory at The University of Hong Kong. She received her speech-language pathology training and PhD from The University of Hong Kong. Dr. Chan is an experienced clinician and researcher in the areas of voice and swallowing disorders. Her early research focuses on perceptual voice evaluation and voice training for professional voice users. Her current research interests are in assessment and treatment for motor speech disorders and swallowing problems in elderly, poststroke individuals, and head and neck cancer survivors.