Endoscopic Evaluation And Treatment Of Swallowing Disorders

Implement FEES successfully into your practice! In the 10 years since Dr. Langmore pioneered and described endoscopic technique for evaluating pharyngeal swallowing function, the use of FEES (flexible endoscopy) has grown exponentially. The procedure is used throughout the world, with workshops held to sold-out attendance; demand for training materials continues unabated. Now there is one book that comprehensively covers the role of endoscopy in the assessment and treatment of oropharyngeal dysphagia. Written in step-by-step detail by the creator of the technique, the book gives you all the information you need to implement FEES in your practice. It offers valuable comparisons to other imaging tools, especially fluoroscopy, showing how this portable technique is the most efficient and cost-effective for patients who cannot easily be transported to a hospital. Highlights of the book: Comprehensive review of anatomy/physiology of oral & pharyngeal musculature Provides FEES protocol sheets for complete how-to instruction Shows how to score a FEES examination & possible abnormal findings Demonstrates the use of endoscopy in a wide range of populations infants, children, and geriatric patients, and those with head and neck cancer Lays out rehabilitative & compensatory techniques for each dysphagia problem Summarizes safety data from the three largest clinical studies ever undertaken Includes dozens of "best practice" case studies

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.

Essential for every physician who sees patients with impaired swallowing, FEESST (Flexible Endoscopic Evaluation of Swallowing with Sensory Testing) provides physicians with a quantum leap forward in the evaluation and management of patients with impaired swallowing. The examination allows direct assessment of both the motor and sensory aspects of the swallow, which enables physicians to precisely guide the dietary and behavioral management of patients with swallowing problems to decrease the risk of aspiration pneumonia.

This book presents a comprehensive approach to treating dysphagia that has been successfully applied in actual rehabilitation settings. Its main purposes are firstly to equip readers with a strong conceptual understanding of swallowing evaluation and treatment, secondly to provide guidance on the procedure of practical comprehensive dysphagia rehabilitation in real-world settings, and thirdly to update readers on the latest diagnostic and treatment technologies. To do so, it employs the concept of swallowing rehabilitation pioneered at Fujita Health University Rehabilitation. The book is divided into 4 major sections, the first of which introduces readers to the general aspects and the principle of deglutition. In turn, Part II offers clinical approaches to both non-instrumental and instrumental evaluation of swallowing. Part III addresses treatment options in swallowing rehabilitation, especially exercises based on motor learning. Lastly, Part IV highlights three clinical cases demonstrating clinical approaches in dysphagic patients. Readers will find this text useful both as an initial guide and a reference work for assisting clinicians, allowing them to further expand swallowing assessment and treatment, and facilitating the development of swallowing rehabilitation in real-world settings in education and rehabilitation.

Seminars in Dysphagia provides a comprehensive overview of contemporary issues in the field of dysphagia assessment, treatment and management in diverse subject populations. Expert views are shared by international clinical experts from different medical and allied health fields. This book contains an introductory chapter on the anatomical structures and physiology processes that underpin dysphagia and discusses the effects of polypharmacy and ageing on deglutition. Contemporary practices of functional assessment of swallowing and the endoscopic assessment for both oropharyngeal and esophageal dysphagia are reviewed. Both the nutritional support and decision making in oral route are described and the impact of dysphagia on carers and family when managing dysphagia. Several chapters are dedicated to outlining the manifestation and consequences of dysphagia in specific populations, including persons with Parkinsons disease, dystonia, chronic obstructive pulmonary disease and mixed connective tissue disease.

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.

Dr. Jeri Logemann's landmark work is a must-have for clinicians working with patients with dysphagia. Discover an in-depth, cohesive approach to the evaluation and treatment of swallowing disorders. Youll review normal swallowing physiology, techniques for screening and evaluation of oropharyngeal swallowing, and procedures for the treatment of dysphagia. The book covers a wide range of populations including those with neurologic disease, sudden-onset neurologic damage, and head and neck cancer. Focusing on clinical problem solving, this book provides the necessary tools to manage adult patients with dysphagia and the knowledge to determine the best methods for assessment and treatment. Its an ideal resource on the topic of dysphagia, showing clear definitions of procedures for students and clinicians alike. This text is well organized, covering normal anatomy and physiology through assessment and treatment, as well as application to special populations. Use it to develop an efficient, effective approach to patient care in the area of dysphagia.

This book is a practical guide that will assist ENT doctors in interpreting swallowing videoendoscopies correctly and in choosing complementary instrumental examinations to consolidate or exclude their provisional diagnosis. In addition, it provides speech-language pathologists with valuable hints on how to treat patients with oropharyngeal dysphagia more efficiently. The book is constructed around videoendoscopic features. The relevance of these features to diagnosis and treatment is carefully described with the aid of numerous high-quality illustrations. Beyond this, the relationship of videoendoscopy to two further instrumental examinations – videofluorography and pharyngeal manometry– and to the three treatment paths of texture adaptation, rehabilitation, and surgery is explained. The use of pictograms in this context helps to elucidate the connections, creating in the reader’s mind “clusters of behaviors” of benefit in clinical practice. The book also includes a short summary on swallowing anatomy and physiology, a chapter on medications inducing dysphagia, key take-home messages, and suggestions for further reading.