Publisher Description

Now re-issued in paperback. Truly comprehensive: described as one of the critical references for the field. Multidisciplinary approach with needs of seven different disciplines taken into consideration. First published in hardback in 1999, this classic work on swallowing is reissued by Plural in paperback. It remains as current now as when first published, focusing particularly on giving a solid grounding in the anatomy and physiology of the normal swallow and covering the subject from a multitude of perspectives. Little wonder then, that in his new foreword, John C. Rosenbek, Ph.D, Professor and Chair, Department of Communicative Disorders, University of Florida, describes it thus: "Scientific and clinical activities in dysphagia are among the fastest growing in healthcare. Speech-language pathologists, physicians, surgeons, nurses, dietitians, dentists, occupation and physical therapists, physiologists, and social workers are among the professionals doing the work.
The highest levels of research and clinical productivity in dysphagia require responsible scholarship, the ability to cope with ambiguity, respect for interdisciplinary cooperation, and a recognition that dysphagia's effects on people extend well beyond mealtime. Comprehensive Management of Swallowing Disorders, edited by Ricardo L. Carrau, M.D., and Thomas Murry, Ph.D., is as perfect a contribution to the field as can be imagined. It contains 55 chapters; authors are drawn from all the major professions presently involved in dysphagia, and each profession's perspective is clearly outlined. The field's entire content is represented: normal and abnormal swallowing; child and adult; oropharynx and esophagus; structural and functional etiologies; prognosis; evaluation and treatment; surgical, medical, and behavioral management; rehabilitation and compensation. General books risk being a mile wide and a foot deep. Not so this book. The reader is not limited to wading; immersion is possible even for the experienced practitioner.
Myotomy, vocal fold augmentation and medialization, Nissen fundoplication, Zenker's diverticulectomy, and gastrostomy are among the surgical procedures included in chapter-length discussions. The array of etiologies and medical and behavioral evaluations and treatments are equally grand. Dysphagic patients are usually not well served by a practitioner with only one or a severely limited number of explanatory, evaluation, or treatment approaches. The contributors to this book obviously serve their patients well. Careful readers will be able to do the same. And there is enough new information in this book so that even the most experienced can come away with more alternatives." First published in hardback in 1999, this classic work on swallowing is reissued by Plural in paperback. It remains as current now as when first published, focusing particularly on giving a solid grounding in the anatomy and physiology of the normal swallow and covering the subject from a multitude of perspectives. Little wonder then, that in his new foreword, John C. Rosenbek, Ph.D
, Professor and Chair, Department of Communicative Disorders, University of Florida, describes it thus: "Scientific and clinical activities in dysphagia are among the fastest growing in healthcare. Speech-language pathologists, physicians, surgeons, nurses, dietitians, dentists, occupation and physical therapists, physiologists, and social workers are among the professionals doing the work. The highest levels of research and clinical productivity in dysphagia require responsible scholarship, the ability to cope with ambiguity, respect for interdisciplinary cooperation, and a recognition that dysphagia's effects on people extend well beyond mealtime. Comprehensive Management of Swallowing Disorders, edited by Ricardo L. Carrau, M.D., and Thomas Murry, Ph.D., is as perfect a contribution to the field as can be imagined. It contains 55 chapters; authors are drawn from all the major professions presently involved in dysphagia, and each profession's perspective is clearly outlined.
The field's entire content is represented: normal and abnormal swallowing; child and adult; oropharynx and esophagus; structural and functional etiologies; prognosis; evaluation and treatment; surgical, medical, and behavioral management; rehabilitation and compensation. General books risk being a mile wide and a foot deep. Not so this book. The reader is not limited to wading; immersion is possible even for the experienced practitioner. Myotomy, vocal fold augmentation and medialization, Nissen fundoplication, Zenker's diverticulectomy, and gastrostomy are among the surgical procedures included in chapter-length discussions. The array of etiologies and medical and behavioral evaluations and treatments are equally grand. Dysphagic patients are usually not well served by a practitioner with only one or a severely limited number of explanatory, evaluation, or treatment approaches. The contributors to this book obviously serve their patients well. Careful readers will be able to do the same. And there is enough new information in this book so that even the most experienced can come away with more alternatives."

Author Biography

Ricardo Carrau, M.D. Ricardo L. Carrau, M.D. 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. 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.

Table of Contents

Part I. Introduction: Epidemiology of Swallowing Disorders. Part II. Anatomy and Physiology of Swallowing. Organs of Swallowing. The Normal Swallow. Part III. Evaluation A: Clinical Evaluation. The Otolaryngologist's Perspective. Speech-Language Pathology: The Clinical Swallow Examination. Clinical Evaluation of Swallowing Disorders: The Pediatric Perspective. Evaluation of Swallowing: The Gastroenterologist's Perspective. The Neurologist's Perspective. Evaluation of Swallowing Disorders: Rehabilitation in the Multidisciplinary Unit. Clinical Evaluation of Swallowing: The Nutritionist's Perspective. Part III. Evaluation: B: Functional Tests The Radiographic Evaluation of Dysphagia: The Barium Swallow (Pharyngoesophagram) and the Modified Barium Swallow. Functional Tests of Swallowing. Gastroenterologic Evaluation of Swallowing. Laryngeal Electromyography. Part IV. Pathophysiology of Swallowing Disorders Pathophysiology of Neurogenic Oropharyngeal Dysphagia. Neuromuscular Disorders. Iatrogenic Swallowing Disorders: Medications. Iatrogenic Swallowing Disorders: Chemotherapy. Iatrogenic Swallowing Disorders: Radiotherapy. Tracheotomy/Endotracheal Intubation. Surgery of the Oral Cavity, Oropharynx, and Hypopharynx. Pathophysiology of Swallowing Disorders: Laryngectomy. Skull Base Surgery. Thyroid Surgery. Swallowing Disorders After Cervical Spine Surgery. Pathophysiology of Swallowing and Gastroesophageal Reflux. Disorders of Esophageal Motility. Pathophysiology of Zenker's Diverticulum. Autoimmune Disorders. Neophasia of the Upper Aerodigestive Tract: Primary Tumors and Secondary Involvement. Benign Esophageal Webs and Strictures. Cardiopulmonary Disorders. Infectious Diseases. Part V. Nonsurgical Treatment of Swallowing Disorders Diet Modification. Therapeutic Intervention for Swallowing Disorders. Dental Prosthetics. Passy-Muir Valve/Decannulation. Part VI. Surgical Treatment of Swallowing Disorders Tracheotomy. Percutaneous Tracheotomy. Vocal Fold Injection. Laryngeal Framework Surgery: Medialization Laryngoplasty. Treating Swallowing Disorders: Arytenoid Adduction. Surgical Treatment of Swallowing Disorders: Cricopharyngeal Myotomy. Palatal Adhesion/Pharyngeal Flap. Laryngeal Closure. Gastrostomy. Zenker's Diverticulectomy. Esophagectomy for Swallowing Disorders. Surgery for Motility Disorders of the Esophagus. Nissen Fundoplication. Part VII. Swallowing Disorders: Prevalence and Management in Special Populations Swallowing Disorders in the Pediatric Population. Swallowing Disorders in the Critical Care Patient. Dysphagia in the Elderly. The Terminal Patient: Palliation of Dysphagia in Advanced Esophageal Cancer. Aspiration Pneumonia.

Long Description

Details extensive discussions of normal swallow in pediatric and adult populations Provides concise outlines of the clinical examination by seven clinical specialties: Otolaryngology, Speech Pathology, Rehabilitation Medicine, Neurology, Gastroenterology, Pediatrics, and Nutrition Multidisciplinary team approach is blended throughout the text to reflect the many needs of the patient with swallowing disorders

Details