About The Book

Pediatric Swallowing and Feeding: Assessment and Management, Third Edition provides information to practitioners interested in and involved with children who demonstrate swallowing and feeding disorders. Since the 2002 publication of the second edition, there has been an exponential increase in the number of medically fragile and complex children with swallowing/feeding disorders. A corresponding proliferation in the related basic and clinical research has resulted in the increased appreciation of the complicated inter-relationships between structures and systems that contribute to swallowing/feeding development, function, and disorders. Case studies throughout the book provide examples for decision making and highlight salient points.

New to the Third Edition

  • Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is welcomed as co-editor. She brings extensive research expertise and clinical practice in pediatric dysphagia and feeding.
  • All chapters contain significant updated evidence-based research and clinical information.
  • New chapters focus on the genetic testing and conditions associated with swallowing and feeding disorders, and the pulmonary manifestations and management of aspiration.
  • World Health Organization (WHO) description of an International Classification of Functioning, Disability, and Health (ICF) sets the stage for an in-depth discussion of clinical feeding evaluation procedures, interpretation, and management decision making.

Pediatric Swallowing and Feeding continues to be the leading text on pediatric dysphagia that provides practical information for clinicians seeing children with swallowing and feeding disorders. The overall importance of an appropriate fund of knowledge and shared experience employing team approaches is emphasized throughout this third edition as in the earlier editions of this book.

From the Foreword

“The Editors have recognized the advances and changes in the understanding in the information now available for the care of pediatric swallowing and feeding challenges. They have recruited an outstanding group of contributors for this newest edition. There are numerous critically important updates and additions in the third edition. They have included World Health Organizations International Classification of Functioning, Disability and Health is the functional basis in all areas of the book. This text has its importance as there has been an increased number of children with complex medical and healthcare conditions which are risk for feeding and swallowing disorders. This edition stresses the need for team approaches and also documents the use of “virtual” teams  …Pediatric Swallowing and Feeding: Assessment and Management, Third Edition is the fundamental holistic source for all healthcare providers providing the care for swallowing and feeding in children. This book will be utilized by all caring for children with feeding and swallowing problems throughout the world. The previous editions have been and now this updated third edition continues to be the standard source for the information concerning diagnosis and care of these children.”
—Robert J. Ruben, MD, FAAP, FACS
Distinguished University Professor
Departments of Otorhinolaryngology – Head and Neck Surgery and Pediatrics
Albert Einstein College of Medicine
Montefiore Medical Center
Bronx, New York

About The Authors

Joan C. Arvedson, PhD, CCC-SLP, BCS-S, is a speech-language pathologist, with Specialty in Pediatric Feeding and Swallowing Disorders at the Children’s Hospital of Wisconsin-Milwaukee and a clinical professor in the Department of Pediatrics, Medical College of Wisconsin. She is recognized internationally for her clinical work in pediatric swallowing and feeding disorders, lecturing/teaching, and scientific publications.

Linda Brodsky, MD (1952–2014), an internationally recognized pediatric otolaryngologist, was Chief of Pediatric Otolaryngology at the Children’s Hospital of Buffalo/Kaleida Health in Buffalo, New York; Professor at the State University of New York at Buffalo Medical School; Director of the Children Hospital’s Center for Pediatric Otolaryngology and Communication Disorders.

Maureen A. Lefton-Greif, PhD, CCC-SLP, BCS-S, is Professor in the Departments of Pediatrics, Otolaryngology – Head and Neck Surgery, and Physical Medicine and Rehabilitation at Johns Hopkins Medical Institutions. She is an internationally recognized speech-language pathologist for her clinical expertise and research on swallowing and its development and disorders in children of all ages.

Table of Contents



About the Editors



Chapter 1. Overview of Diagnosis and Treatment

Joan C. Arvedson and Maureen A. Lefton-Greif

Chapter 2. Anatomy, Embryology, Physiology, and Normal Development

Joan C. Arvedson and Maureen A. Lefton-Greif

Chapter 3. Neurodevelopmental Assessment of Swallowing and Feeding

Brian Rogers and Shannon M. Theis
Chapter 4. The Upper Airway and Swallowing

Robert Chun and Margaret L. Skinner


Chapter 5. Pediatric Gastroenterology

Ellen L. Blank


Chapter 6. Pediatric Nutrition

Mary Beth Feuling and Praveen S. Goday


Chapter 7. Clinical Swallowing and Feeding Assessment

Joan C. Arvedson, Maureen A. Lefton-Greif, and Donna J. Reigstad


Chapter 8. Instrumental Evaluation of Swallowing

Maureen A. Lefton-Greif, Joan C. Arvedson, Robert Chun, and David C. Gregg


Chapter 9. Management of Swallowing and Feeding Disorders

Joan C. Arvedson, Maureen A. Lefton-Greif, and Donna J. Reigstad


Chapter 10. Pulmonary Manifestations and Management Considerations for Aspiration

J. Michael Collaco and Sharon A. McGrath-Morrow
Chapter 11. Drooling and Saliva/Secretion Management

Joan C. Arvedson and Maureen A. Lefton-Greif
Chapter 12. Clinical Genetics: Evaluation and Management of Patients With Craniofacial Anomalies Associated With Feeding Disorders

Julie E. Hoover-Fong and Natalie M. Beck


Chapter 13. Behavioral Feeding Disorders: Etiologies, Manifestations, and Management

Meghan A. Wall and Alan H. Silverman




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