Evaluation and Treatment of Swallowing Disorders

by Logemann, Jeri A.

• ISBN13: 9780890797280
• ISBN10: 0890797285
• Edition: 2nd
• Format: Hardcover
• Copyright: 1997-11-01
• Publisher: Pro Ed

Table of Contents

Preface	xi
Chapter 1 Introduction: Definitions and Basic Principles of Evaluation and Treatment of Swallowing Disorders	1	(12)
Signs and Symptoms of Dysphagia	3	(1)
Screening: Identifying the Patient at High Risk for Oropharyngeal Dysphagia	4	(1)
Complications of Dysphagia	5	(1)
Multidisciplinary Approach	5	(1)
Patient Safety	6	(1)
Focus of this Book	7	(1)
References	8	(5)
Chapter 2 Anatomy and Physiology of Normal Deglutition	13	(40)
Anatomic Structures	13	(10)
Physiology	23	(13)
The Mechanism as a Set of Tubes and Valves	36	(1)
Changes with Age	37	(8)
Variations in Normal Swallowing	45	(2)
References	47	(6)
Chapter 3 Instrumental Techniques for the Study of Swallowing	53	(18)
Imaging Studies	54	(8)
Nonimaging Procedures	62	(5)
Selecting an Instrumental Procedure	67	(1)
References	67	(4)
Chapter 4 Disorders of Deglutition	71	(64)
The Lateral View	77	(37)
The Posterior-Anterior View	114	(6)
Appendix 4A: Videofluorographic Examination of Swallowing Worksheet	120	(12)
References	132	(3)
Chapter 5 Evaluation of Swallowing Disorders	135	(56)
Screening Procedures	135	(4)
The Bedside or Clinical Examination	139	(29)
Videofluoroscopic Procedure--The Modified Barium Swallow	168	(17)
References	185	(6)
Chapter 6 Management of the Patient with Oropharvngeal Swallowing Disorders	191	(60)
Treatment Planning	191	(2)
Oral Versus Nonoral Feeding	193	(3)
Compensatory Treatment Procedures	196	(9)
Therapy Procedures by Category	205	(17)
Therapy and Management for Specific Swallowing Disorders	222	(13)
Other Issues in Swallowing Therapy	235	(6)
Issues in the Management of Dysphagia in Various Settings	241	(5)
Summary	246	(1)
References	246	(5)
Chapter 7 Swallowing Disorders After Treatment for Oral and Oropharyngeal Cancer	251	(30)
Pretreatment Dental Assessment	252	(1)
Tumor Staging	253	(1)
Typical Tumor Locations and Resections in the Oral Cavity	254	(6)
Types of Reconstruction Following the Ablative Procedure	260	(3)
Rehabilitation Needs and Procedures for the Oral Cancer Patient	263	(2)
Rehabilitation Needs and Procedures for the Oropharyngeal Cancer Patient	265	(1)
Optimal Schedule for Rehabilitation	265	(3)
Swallowing Disorders Related to Specific Surgical Resections and Reconstruction Techniques	268	(6)
Swallowing Disorders After Radiotherapy to the Oral Cavity and Oropharynx	274	(1)
General Principles of Swallowing Therapy with Treated Oral Cancer Patients	275	(2)
References	277	(4)
Chapter 8 Swallowing Disorders After Treatment for Laryngeal Cancer	281	(26)
Principles of Tumor Management in the Larynx	282	(2)
Typical Tumor Locations and Resections in the Larynx and Associated Swallowing Disorders	284	(12)
Radiotherapy	296	(1)
General Guidelines for Swallowing Therapy with Treated Laryngeal Cancer Patients	297	(1)
References	298	(5)
Introduction to Chapters 9 and 10: Swallowing Disorders Caused by Neurologic Impairments	303	(4)
General Considerations in Management of Patients with Swallowing Disorders Due to a Neurologic Disorder	304	(1)
Evaluation of the Neurologic Patient in the Intensive Care Unit	305	(1)
References	306	(1)
Chapter 9 Swallowing Disorders Caused by Neurologic Lesions from Which Some Recovery Can Be Anticipated	307	(22)
Swallowing Problems After Stroke	307	(8)
Swallowing Problems Following Closed Head Trauma	315	(3)
Swallowing Problems After Cervical Spinal Cord Injury	318	(4)
Swallowing Problems After Neurosurgical Procedures Affecting the Brainstem and/or Cranial Nerves	322	(1)
Swallowing Problems Resulting from Poliomyelitis	323	(1)
Swallowing Problems Associated with Guillain-Barre	323	(1)
Swallowing Problems Associated with Cerebral Palsy	324	(1)
Swallowing Problems Associated with Dysautonomia (Riley-Day Syndrome)	325	(1)
References	326	(3)
Chapter 10 Swallowing Problems Associated with Degenerative Disease	329	(16)
Swallowing Problems Associated with Neurologic or Neuromuscular Disease	330	(10)
Other Degenerative Diseases Causing Swallowing Problems	340	(1)
References	341	(4)
Chapter 11 Medical Treatment for Swallowing Disorders	345	(14)
Techniques Designed To Improve Specific Swallowing Disorders	345	(4)
Procedures Designed To Control Unremitting Aspiration	349	(1)
Techniques for Nonoral Feeding	350	(4)
Medications	354	(1)
References	354	(5)
Chapter 12 Clinical Decision Making	359	(8)
Prerequisites for Good Decision Making	359	(1)
Clinical Decisions	360	(4)
Ethical Issues for Good Clinical Decision Making	364	(1)
References	364	(3)
Chapter 13 Multidisciplinary Management of Dysphagia	367	(8)
Professions Often Included on the Multidisciplinary Team	368	(2)
Establishing the Radiographic Procedure	370	(1)
Models of Communication Between the Team Members	370	(1)
Efficacy of Multidisciplinary Rehabilitation for Dysphagia	371	(1)
Staff Education by the Team	372	(1)
References	372	(3)
Chapter 14 Measurement of Swallowing and Intervention Strategies: The Future	375	(6)
Swallowing Measures	375	(2)
Criteria for the Measurement of Treatment Effects	377	(1)
Every Clinician's Role	378	(1)
The Future	378	(1)
References	379	(2)
Author Index	381	(6)
Subject Index	387