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Clinical Management of Swallowing Disorders

Third Edition

Thomas Murry, PhD, Ricardo L. Carrau, MD


264 pages, Color Illustrations (4 Color), Hardcover, 8.5 x 11"
ISBN13: 978-1-59756-425-0
Release date: 03/30/2012



***Includes a new chapter on pediatric swallowing and feeding disorders.***

The diagnosis and treatment of swallowing disorders continues to evolve into a major medical discipline that traverses multiple medical specialties, especially speech-language pathology and otolaryngology. Clinical Management of Swallowing Disorders, Third Edition is a core textbook that addresses the needs of those who will treat swallowing disorders as well as clinicians who currently treat swallowing disorders in hospitals, rehabilitation centers, nursing homes, and private outpatient clinics. The essential aspects of dysphagia management are presented in a format that both beginners and clinicians needing a practical update on dysphagia will find useful.

The third edition has been extensively revised and expanded, and now includes an entirely new chapter on pediatric feeding and swallowing. Heavily revised chapters on surgical treatment of dysphagia and nutritional aspects of swallowing are also new features. The glossary has been expanded to offer a comprehensive list of definitions of swallowing-related diseases and disorders. The authors, a speech-language pathologist and and otolaryngologist, each bring their specific contributions to this highly successful textbook.

A workbook and CD are also available to aid instructors in the delivery of content and to enhance and reinforce student comprehension.

Lean about the Clinical Management of Swallowing Disorders Workbook, Third Edition.

Learn about Clinical Management of Swallowing Disorders: A Companion CD, Third Edition.

Save 15% when you buy the textbook and workbook together.

Save 15% when you buy the textbook, workbook, and CD together.


  • Alan Micco, M.D.(Northwestern University Feinberg School of Medicine), Doody's, (December 2012):
    "As swallowing disorders are difficult for many clinicians to manage, this book is a useful tool. The authors describe different management options, highlighting how management varies depending on the patient and underlying etiology of the swallowing disorder. ...This is a well-written book for the intended audience and is a good clinical overview of a challenging medical problem."

  • Nathan Gonik, MD, Annals of Otology, Rhinology, and Laryngology, (2012):
    "This edition differs from its predecessor most notably by the inclusion of new outcome data and an additional chapter focusing on pediatric swallowing disorders.... [T]he book should be appropriate for any practitioner trying to better understand the complex array of swallowing disorders."

  • Ashli OíRourke, MD, Head & Neck 36: 152, (Jan 2014):
    "The Clinical Management of Swallowing Disorders; 3rd edition, by Thomas Murry and Ricardo Carrau, is set apart from other dysphagia texts by its unflagging adherence to a clinical focus on the management of swallowing disorders. It is a difficult task to cover such a broad topic as dysphasia evaluation and management succinctly, but the authors do this well. From two different clinical perspectives, the authors share their vast experience in a straightforward writing style.

    This text provides the speech-language pathology students, new practicing speech-language pathologists, medical student, or resident a practical framework for the diagnosis and management of swallowing problems by providing a thorough overview of dyshpagia etiology, an expanded glossary, and easy-to-comprehend explanations of complex disease processes. Study questions at the end of each chapter gives readers the chance to assess their comprehension of the chapterís subject matter, while a discussion question encourages readers to apply this knowledge further. In addition, the authors refer readers to additional resources beyond the text and provide an excellent up-to-date review of the literature. This allows the bibliography for each chapter to become a starting point for further learning.

    ...More seasoned dysphagia therapists will find this book a quick, practical reference text... This 3rd edition includes a new chapter on pediatric swallowing disorders, which nicely rounds out the topics included in the text... In the end, the authors are able to fluidly distill the complexity of a broad disorder such as dysphagia into a readable format. This book meets the need for a thorough, yet concise, text that conveys the most pertinent information in an accessible manner."


Primary Subject: Speech-Language Pathology / General
Secondary Subject: Speech-Language Pathology / Swallowing/Dysphagia
Secondary Subject: Otolaryngology-Head & Neck Surgery / Voice and Swallowing
Audience Level: Academic


I. Introduction to and Epidemiology of Swallowing Disorders
Need for Early Intervention
Study Questions
Discussion Questions

II. Anatomy and Function of the Swallowing Mechanism
The Normal Swallow
Cranial Nerves Involved in Swallowing
Central Neural Control
Study Questions
Discussion Question

III. The Abnormal Swallow: Conditions and Diseases
Neurological Disorders
Conditions Found in Critical Care Patients
Esophageal Disorders
Infectious Diseases
Swallowing Disorders Following Radiation Therapy
Autoimmune Diseases
Study Questions
Discussion Questions

IV. Swallowing Disorders Arising from Surgical Treatment
Anterior Cervical Spinal Surgery (ACSS)
Head and Neck Surgery
Floor of the Mouth Surgery
Partial Glossectomy
Palate Surgery
Lip Surgery
Mandibular Surgery
Oropharyngeal Surgery
Hypopharyngeal Surgery
Skull Base Surgery
Zenker Diverticulum
Study Questions
Discussion Questions

V. Evaluation of Dysphagia
Dysphagia Screening
Case History and Bedside Swallow Evaluation (BSE)
Instrumental Tests of Swallow Function
Study Questions
Discussion Questions

VI. Nonsurgical Treatment of Swallowing Disorders
Compensatory Swallowing Therapy
Rehabilitative Swallowing Therapy
Study Questions
Discussion Questions

VII. Prosthetic Management of Swallowing Disorders
Oral Prosthodontics and Dentures
Palate Lowering Prostheses
Soft Palate Prostheses
Lingual Prostheses
Speaking Valves
Physical and Environmental Adjustments
Study Questions
Discussion Questions

VIII. Surgical Treatment of Swallowing
Vocal Fold Medialization
Pharyngoesophageal Dilation
Surgical Closure of the Larynx
Tracheostomy Tubes
Swallowing Following Head and Neck Cancer
Study Questions
Discussion Questions

IX. Pediatric Swallowing and Feeding Disorders
Incidence of Feeding and Swallowing Disorders in the Pediatric Populations
Instrumental Examination
Radiological Examination
FEES and FEESST Examinations
Treatment of Feeding and Swallowing Disorders
Options and Considerations in Treatment of Feeding Disorders in Infants and Children
Additional Factors in Infant Feeding and Swallowing
Study Questions
Discussion Questions

X. Nutrition and Diets
Properties of Liquids and Foods
Oral Nutrition and Dysphagia Diets
Nonoral Diets
Malnutrition and Dehydration
Nutrition in the Aging Population
Study Questions
Discussion Questions

XI. Patients with Voice and Swallowing Disorders
Case Studies from Voice and Swallowing Centers
Study Questions
Discussion Questions

Appendix I: Eating Assessment Tool (EAT-10)
Appendix II: Reflux Finding Score (RFS)
Appendix III: Reflux Symptom Index (RSI)
Appendix IV-A: Voice Handicap Index (VHI)
Appendix IV-B: Voice Handicap Index (VHI-10)
Answers to Study Questions

About The Authors

Thomas Murry, PhD

Thomas Murry, PhD is Professor of Speech Pathology in the Department of Otorhinolaryngology, Weill Cornell Medical College, Cornell University, New York, and Adjunct Professor Teacherís College, Department of Biobehavioral Sciences, Columbia University, New York.

Ricardo L. Carrau, MD

Ricardo L. Carrau, MD is Professor of Otolaryngology-Head and Neck Surgery and Neurosurgery, Director of the Maxillofacial Trauma Service, Director of the Consult Service, and Director of the Tracheotomy and Swallowing Unit at the University of Pittsburgh Medical Center. He has published more than 100 papers, abstracts and book chapters and has been a guest lecturer at more than 100 national and international meetings.

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