About The Book
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 online supplementary materials, including instructor lecture slides, study flash cards, and downloadable versions of the appendicies.
New to the Fifth Edition
- 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
About The 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.
Table Of Contents
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
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