Pediatric Dysphagia

Jay Paul Willging, MD, is a Professor of Otolaryngology–Head and Neck Surgery at the University of Cincinnati College of Medicine. He completed his fellowship in pediatric otolaryngology at Cincinnati Children’s Hospital Medical Center (CCHMC) and has been a member of the Division of Pediatric Otolaryngology–Head and Neck Surgery at CCHMC since 1992. He is the Director of the Pediatric Otolaryngology Fellowship Training Program and also the Director of Clinical Operations for the Otolaryngology Division. He has served as the Director of the Interdisciplinary Feeding Team since 1999, and is also an active participant in numerous other multidisciplinary programs, including the Aerodigestive and Esophageal Center, the Craniofacial Anomaly Team, the Fiberoptic Endoscopic Evaluation of Swallowing Safety Clinic, and the Velopharyngeal Insufficiency Clinic. Dr. Willging has numerous peer-reviewed clinical and research publications and has been a longstanding contributor to textbooks on a wide range of otolaryngology topics, particularly feeding and swallowing disorders.Claire Kane Miller, PhD, MHA, CCC-SLP, is the Program Director of the Aerodigestive and Esophageal Center’s Interdisciplinary Feeding Team at Cincinnati Children’s Hospital Medical Center, and holds a clinical and research position in the Division of Speech-Language Pathology at Cincinnati Children’s. She is a field service associate affiliate professor in the Department of Otolaryngology–Head and Neck Surgery at the University of Cincinnati College of Medicine and is also an assistant affiliate professor in the Department of Communication Sciences and Disorders at the University of Cincinnati. Her research and clinical interests are predominantly in pediatric dysphagia. Throughout her career, she has focused on instrumental swallowing assessment and the clinical management of infants and children with congenital and acquired airway anomalies. She has authored numerous publications and has presented both nationally and internationally on diverse aspects of pediatric dysphagia.Aliza P. Cohen, MA, is a medical and science writer who has spent more than three decades working in academic medicine. During this time, she has worked collaboratively with faculty and fellows in pediatric surgery, pediatric neurology, pediatric pulmonary and sleep medicine, and pediatric otolaryngology. She has coauthored numerous articles and book chapters on a wide array of topics within these disciplines and has dedicated her efforts to mentoring fellows and faculty in the pursuit of excellence in writing.

• Foreword by Robin T. CottonPrefaceAcknowledgmentsContributorsPart I. FoundationsSection 1. EmbryologyChapter 1. Embryologic Development of Aerodigestive Structures that Relate to SwallowingClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 2. Neural Control of SwallowingChapter 2. Neural Organization Related to SwallowingClaire Kane Miller, Lisa N. Kelchner, and Jay Paul WillgingChapter 3. Cranial Nerves Associated with Swallowing Claire Kane Miller, Lisa N. Kelchner, and Jay Paul WillgingChapter 4. Three Phases of SwallowingClaire Kane Miller, Lisa N. Kelchner, and Jay Paul WillgingChapter 5. Respiration, Swallowing, and Protective ReflexesClaire Kane Miller, Lisa N. Kelchner, and Jay Paul WillgingSection 3. Oral Motor DevelopmentChapter 6. Oral Motor DevelopmentClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 4. EtiologiesChapter 7. Syndromes, Sequences, and AssociationsClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 8. Neurologic EtiologiesClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 9. Structural EtiologiesClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 10. Respiratory ConditionsClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 11. Cardiac ConditionsClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 12. Functional Disorders of the EsophagusClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 13. Functional Disorders of the Gastrointestinal TractClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 14. Sensory Processing DisordersClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 15. Metabolic DisordersClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 16. Psychosocial and Behavioral DisordersClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 5. GeneticsChapter 17. Genetic Syndromes and Disorders and Their Associated Feeding IssuesClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingPart II. Clinical and Instrumental AssessmentSection 6. Interdisciplinary Feeding TeamChapter 18. Team Infrastructure and FunctionClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 19. Role of the Pediatric OtolaryngologistJay Paul WillgingChapter 20. Role of the PulmonologistDan T. BenscoterChapter 21. Role of the Pediatric GastroenterologistVincent Mukkada, Aliza P. Cohen, and Jay Paul WillgingChapter 22. Role of the Registered NurseCandace J. HochstrasserChapter 23. Role of the Nurse PractitionerCandace J. HochstrasserChapter 24. Role of the Registered DieticianAmy E. ReedChapter 25. Role of the Pediatric Speech-Language PathologistClaire Kane MillerChapter 26. Role of the Occupational TherapistElizabeth J. KirbyChapter 27. Role of the Social WorkerSarah M. WellerChapter 28. Case Study Reflecting Interdisciplinary Feeding Team ApproachClaire Kane MillerSection 7. Oral Motor Feeding AssessmentChapter 29. Clinical Oral Motor Feeding AssessmentClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 8. Instrumental AssessmentChapter 30. The Videofluoroscopic Swallowing StudyClaire Kane Miller, Steven J. Kraus, Aliza P. Cohen, and Jay Paul WillgingChapter 31. Fiberoptic Evaluation of SwallowingClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 32. Adjunctive Diagnostic Testing in the Evaluation of Pediatric DysphagiaCharles M. Myer IV, Claire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 9. Assessment and Management of Feeding and Swallowing Issues in the Neonatal Intensive Care UnitChapter 33. Classification of Neonatal Intensive Care UnitsClaire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann ClonanChapter 34. Selective Conditions Frequently Seen in the Neonatal Intensive Care UnitClaire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann ClonanChapter 35. The Neonate in the Neonatal Intensive Care Unit EnvironmentClaire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann ClonanChapter 36. Feeding Assessment of Neonates in the Neonatal Intensive Care UnitClaire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann ClonanChapter 37. Therapeutic Interventions in the Neonatal Intensive Care UnitClaire Kane Miller, Alison S. Riley, Brenda K. Thompson, and Ann ClonanPart III. Management of Pediatric DysphagiaSection 10. Overview of Treatment StrategiesChapter 38. Overview of Treatment StrategiesClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 39. Management of Feeding Issues in Infants and Children with Craniofacial AnomaliesClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingChapter 40. Management of Dysphagia in Children with Underlying Neurogenic ConditionsClaire Kane Miller, Aliza P. Cohen, and Jay Paul WillgingSection 11. Sensory Processing DisordersChapter 41. Sensory Processing Disorders and Regulatory Issues that Affect FeedingClaire Kane Miller and Jennifer MaybeeChapter 42. Interventions for Sensory Processing DisordersClaire Kane Miller and Jennifer MaybeeSection 12. Behavioral Feeding Disorders and Intervention StrategiesChapter 43. Behavioral Feeding DisordersClaire Kane Miller and Lori B. VincentChapter 44. Behavioral AssessmentClaire Kane Miller and Lori B. VincentChapter 45. Behavioral Feeding InterventionsClaire Kane Miller and Lori B. VincentSection 13. Management of Gagging, Retching, and Tube Feeding IssuesChapter 46. Management of Gagging, Retching, and Tube Feeding IssuesTherese O’Flaherty, Aliza P. Cohen, and Jay Paul WillgingPart IV. Evidence-Based MedicineSection 14. Evidence-Based Practice and Assessing Outcomes in Pediatric DysphasiaChapter 47. Levels of EvidenceClaire Kane MillerChapter 48. Components of Evidence-Based PracticeClaire Kane MillerChapter 49. Establishing Care Recommendations, Clinical Pathways, and Treatment ProtocolsClaire Kane MillerChapter 50. Integrating Functional Outcomes in the Dysphagia Treatment PlanClaire Kane MillerPart V. Ethics in Pediatric Dysphagia Section 15. Ethics in Pediatric DysphagiaChapter 51. Ethics in Pediatric DysphagiaCandace Ganz and Claire Kane MillerIndex