Overview

The diagnosis and treatment of swallowing disorders continues to evolve into a major medical discipline that traverses multiple medical specialties, especially speech-language pathologists and otolaryngologists. This third edition of Clinical Management of Swallowing Disorders is a core textbook that addresses the needs of those who will treat swallowing disorders as well as those clinicians who currently treat swallowing disorders in hospitals, rehabilitation centers, nursing homes and in 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 addresses clinical issues in a concise way, provides handy tabular information, and offers practical treatment options for a wide variety of swallowing problems with medical, surgical and behavioral treatment models. The text focuses on treatment of swallowing disorders and avoids long discussions on the causes and complications of many neuromuscular diseases and neurological conditions that result in dysphagia. The Clinical Management of Swallowing Disorders offers the practicing clinician a reference text of the procedures for the management of swallowing disorders.

Audience

Primary Subject: Speech and Language Pathology / General
Secondary Subject: Speech and Language Pathology / Swallowing
Secondary Subject: Otolaryngology-Head & Neck Surgery / Voice and Swallowing
Audience Level: Professional/Textbook - 90 Days

Preface
Acknowledgments

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

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

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

IV. Swallowing Disorders Arising from Surgical Treatment
Introduction
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
Tracheotomy
Zenker Diverticulum
Summary
Study Questions
Discussion Questions
References

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

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

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

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

IX. Pediatric Swallowing and Feeding Disorders
Introduction
Incidence of Feeding and Swallowing Disorders in the Pediatric Populations
Anatomy
Physiology
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
Summary
Study Questions
Discussion Questions
References

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

XI. Patients with Voice and Swallowing Disorders
Introduction
Diagnosis
Instrumentation
Personnel
Facilities
Case Studies from Voice and Swallowing Centers
Summary
Study Questions
Discussion Questions
References

Glossary
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
Index

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