Overview

Completely new book on an innovative new approach to assessment and treatment of swallowing disorders Caters for the increasing team approach in swallowing of laryngologist, gastroenterologist, pulmonologist and speech pathologist Profusely illustrated with and black and white photos Features practical coverage of the use of instrumentation as well as case examples Authors are extremely well-known and are traveling the world with courses demonstrating this new technique FEESST enables Otolaryngologists, gastroenterologists, and pulmonologists to raise the level of care for their patients with swallowing problems. This is an essential text for all physicians, clinicians and speech pathologists that treat swallowing disorders. For the first time this new examination allows direct assessment of both the motor and sensory aspects of the swallow, enabling physicians to precisely guide the dietary and behavioral management of patients to decrease the risk of aspiration pneumonia.The authors provide readers with a science behind the instrumentation, the protocols for its use, and detailed case studies demonstrating its value in evaluating and managing diverse groups including: Patients with a history of reflux; Recent stroke patients experiencing difficulty swallowing, throat clearing, or choking during meals; Patients with a difficulty related to an underlying diagnosis of Parkinson's Disease; cerebral palsy, multiple sclerosis, ALS, or dementia; Patients with a history of upper respiratory infections, unexplained fevers, aspiration pneumonia, or asthma; Patients who complain about trouble swallowing liquid, food, or medications; Patients receiving nutrition via G-tube or NGT who are candidates for improved function and ability to tolerate oral feedings; Patients with a Tracheotomy.

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9781597560009

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Reviews

In this well-written book, Drs. Aviv and Murry provide a state of the art reference source for the clinicians who are considering or already performing flexible endoscopic evaluation of swallow with sensory testing (Feesst).

In this well-written book, Drs. Aviv and Murry provide a state of the art reference source for the clinicians who are considering or already performing flexible endoscopic evaluation of swallow with sensory testing (Feesst). The Journal of Laryngology & Otology, Ltd.: For those working in the areas of comprehensive dysphagia diagnosis and management, this book is an essential reference. It is compact and easy to read, with a logical format that provides the reader with an initial thorough refresher of endoscopic anatomy and swallowing physiology. The chapter on the FEESST technique details clearly the procedure and sensory testing method with evaluation of bolus consistency, compensatory and swallowing treatment strategies. Throughout the book excellent quality photographs illustrate key points and the numerous case studies used to illustrate the FEESST directed, decision-making process reflect the most common referral groups presenting with dysphagia. The use of FEESST with stroke patients, the elderly and to predict laryngeal penetration and aspiration is particularly useful and the dysphagia treatment algorithms effectively clarify the management issues. The current developments in Transnasal Oesophagoscopy are detailed, with useful indications for when to use TNO, Sensory Testing and FEESST. This book should have a prominent place on the departmental bookcase and will contribute significantly to future developments in our dysphagia service. As a quick reference it will be invaluable but for detailed understanding it will be equally useful to specialists and those developing skills in endoscopic swallow management.

Author Information

Jonathan Aviv, M.D. Dr. Aviv is Professor of Otolaryngology-Head and Neck Surgery and the Director of the Division of Laryngology at the College of Physicians and Surgeons, Columbia University. He is the inventor and developer of the endoscopic air-pulse laryngeal sensory testing technology known as FEESST. He is President-elect of the American Broncho-Esophageal Association, President of the New York Laryngological Society, and former Chairman of the Speech, Voice and Swallowing Committee of the American Academy of Otolaryngology/Head and Neck Surgery. Thomas Murry, Ph.D. Thomas Murry, Ph.D. is Professor of Speech Pathology in the Department of Otorhinolaryngology, Weill Cornell Medical College, Cornell University, New York, and Adjunct Professor Teacher's College, Department of Biobehavioral Sciences, Columbia University, New York.

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