| Περίληψη: | This text provides the reader with a comprehensive understanding of pediatric swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It highlights particular clinical challenges and controversies in the management of pediatric dysphagia. Part one of the text begins with an overview of the anatomy and physiology of swallowing, with a focus on normal development as we currently understand it. It also discusses new information regarding reflexive interactions between the larynx and esophagus that potentially influence swallowing, and the advantages and limitations of currently available diagnostic modalities. It highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies, as well as current literature regarding medical and behavioral-based therapy options. Part two addresses specific diagnoses which can cause or be associated with dysphagia such as prematurity, velopharyngeal insufficiency, ankyloglossia, laryngeal clefts, laryngomalacia, vocal fold paralysis, and cricopharyngeal dysfunction; and explores the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated as well as the impact of craniofacial anomalies, sialorrhea, and psychological factors on swallowing. As the most up-to-date text in this field, Pediatric Dysphagia: Challenges and Controversies will be a valuable reference guide for both learners and practitioners caring for these children. Comprehensive coverage addresses the full spectrum of dysphagia to strengthen the care provider's clinical evaluation and diagnostic decision-making skills. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. It also incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists, and lactation consultants.
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