Diagnosis And Treatment Of Neurogenic Dysphagia

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

This book provides a comprehensive and up-to-date description of the diagnosis and management of dysphagia, with particular reference to oral and pharyngeal dysfunction. All aspects of dysphagia are covered, from anatomy and physiology to patient care. Alongside descriptions of a variety of disease entities, signs and symptoms, and treatment approaches, many other relevant topics are addressed, including endoscopic and manometric aspects, malnutrition and dehydration, the psychiatric burden, and features specific to pediatric and geriatric patients. The authors are without exception renowned experts in their field. This book will be of value to all specialists involved in the evaluation and treatment of dysphagia, including ENT surgeons, thoracic surgeons, speech and language pathologists, phoniatricians, gastroenterologists, neurologists, and radiologists.

Approaches management of the patient with a swallowing impairment from a broad array of perspectives, including contributions by speech pathologists, occupational therapists, nurses, dietitians, gastroenterologists, neurologists, otolaryngologists, and radiologists. The third edition includes updated information in each chapter, and a new chapter covering neurologic disorders, the most prevalent cause of swallowing impairment. Annotation copyrighted by Book News, Inc., Portland, OR

The second edition of this well-received book provides a comprehensive and up-to-date description of the diagnosis and management of dysphagia, including oral, pharyngeal, and esophageal dysfunction. All aspects of dysphagia are covered, with detailed consideration of anatomy, physiology, and pathology. In addition to a variety of benign and malignant disease entities, signs and symptoms, and treatment approaches, many other relevant topics are addressed, including endoscopy, manometry, malnutrition, dehydration, oral care, dementia, ethics, and the social and psychologic impacts of dysphagia. Specific aspects of importance in pediatric and geriatric patients are highlighted. This edition features a number of completely new chapters focusing on, among other subjects, dysphagia in further disease contexts and following laryngectomy and radiation therapy. The authors are without exception world-leading experts in their fields. The book will be of value for practitioners in all specialties involved in the evaluation and treatment of dysphagia. It is therefore a truly multidisciplinary project.

Clearly delineates the terminology and practices associated with compensatory versus rehabilitative treatment technique in neurogenic dysphagia. Includes comprehensive treatment planning and selection of techniques based on physiologic abnormalities, rather than symptomatology. Provides in-depth discussion of various biofeedback modalities and reviews the challenge of diet modification terminology and standard practices. Reviews surgical and pharmacological managemet of the dysphagia patient. TEXTBOOK

The book offers a comprehensive approach to the assessment and treatment of disturbances in facial expression, oral movement, swallowing, breathing, voice and speech production caused by developmental and acquired neurological conditions. The principles outlined are used in patients with different etiologies (e.g. stroke, tumors, traumas). F.O.T. T., developed by Kay Coombes, is a hands-on approach based on an understanding of neurological functions and the way we learn from experience. The approach aims to give the patient experience of physiological posture and movement using facial-oral functions in normal activities of daily living (ADL). Rather than mere “exercises”, F.O.T.T involves meaningful activities aiming to promote participation, according to ICF criteria. Four main areas are covered: nutrition, oral hygiene, nonverbal communication and speech. Each chapter summarises the problems of severely ill patients and shows the clinical reasoning behind the solutions offered. Separate chapters discuss tracheostomy management and the training of the carers involved, including relatives. The chapter authors are experienced specialists (physio-, occupational- and speech-language therapists and physicians), whose contributions aim to provide interdisciplinary perspectives and translate latest research into clinical practice.