Clinical Management of Swallowing Disorders

Thomas Murry, Ph.D. Thomas Murry, Ph.D. is Professor of Speech Pathology in the Department of Otorhinolaryngology, Weill Cornell Medical College, Cornell University, New York, and Adjunct Professor Teacher's College, Department of Biobehavioral Sciences, Columbia University, New York. Ricardo L. Carrau, M.D. Dr. Carrau 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.

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