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Pediatric Dysphagia

Challenges and Controversies

  • Most up-to-date and comprehensive text on Pediatric Dysphagia

  • Includes numerous color photographs, drawings, and videos that augment the text

  • Incorporates information pertinent to the different roles, tools and views of a multidisciplinary dysphagia team

  • Each chapter highlights areas ripe for future study and research

  • Written by experts in the field of Pediatric Dysphagia

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Table of contents (24 chapters)

  1. Front Matter

    Pages i-xi
  2. Diagnosis and Treatment of Pediatric Dysphagia

    1. Front Matter

      Pages 1-1
    2. Embryology and Anatomy

      • Annie K. Ahn, Mary Frances Musso
      Pages 3-16
    3. Clinical Feeding-Swallowing Evaluation: Overview for the Healthcare Provider

      • Christina A. Rappazzo, Catherine L. Turk
      Pages 49-65
    4. The Videofluoroscopic Swallow Study: Introduction, Limitations, and Challenges

      • Christina A. Rappazzo, Catherine L. Turk
      Pages 67-86
    5. Fiberoptic Endoscopic Evaluation of Swallowing: Assessing Dysphagia in the Breastfeeding Patient

      • James W. Schroeder Jr, Susan Willette, Laura Hinkes Molinaro
      Pages 93-99
    6. Diagnosis and Treatment of Pediatric Dysphagia: Radiography

      • William Stoudemire, Lynn Ansley Fordham, Timothy J. Vece
      Pages 109-118
    7. Oromotor Therapy

      • Tsu-Hsin Howe
      Pages 119-134
  3. Special Topics and Controversies in Pediatric Dysphagia

    1. Front Matter

      Pages 163-163
    2. Ankyloglossia and Dysphagia

      • Jeffrey Cheng, Eileen Raynor
      Pages 165-170
    3. Type 1 Laryngeal Clefts

      • Prasad John Thottam, Deepak K. Mehta
      Pages 171-177
    4. Vocal Fold Paralysis and Dysphagia: Challenges and Controversies

      • Ryan Belcher, Nikhila Raol
      Pages 191-206
    5. Cricopharyngeal Dysfunction in Children

      • Joshua R. Bedwell
      Pages 207-213

About this book

Pediatric dysphagia is a clinical problem that crosses disciplines. Children may be seen by numerous medical specialties including pediatric otolaryngology, gastroenterology, pulmonology, speech pathology, occupational therapy, and lactation consultants. The myriad approaches to the diagnosis and management of dysphagia is confusing for both clinicians and families; resulting in recurrent trips to medical professionals. Feeding is integral to socialization and to bonding between infants and parents. Disruptions in feeding development can be extremely taxing emotionally and economically for families. Children with dysphagia are some of the most challenging patients even for clinicians who specialize in their care.


This text provides the reader with a comprehensive understanding of swallowing and presents a practical, evidence-based approach to the diagnosis and management of swallowing difficulties in children. It also highlights particular clinical challenges and controversies in the management of pediatric dysphagia. It is unique in that it incorporates the perspectives of multiple types of clinicians that care for these patients including otolaryngologists, gastroenterologists, pulmonologists, speech pathologists, occupational therapists and lactation consultants. In doing so, this text will encourage cross-specialty pollination of ideas and knowledge as well as stimulate further research in the field. 


Part 1 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. It then moves on to a discussion of the advantages and limitations of currently available diagnostic modalities and highlights current controversies regarding frame rate, radiation exposure, breastfeeding infants, and grading of studies. Additionally, it reviews the current literature regarding medical and behavioral-based therapy options, including thickening options, oromotor therapy, and controversies concerning strict NPO. 


Part 2 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. The text goes on to explore the pathophysiology and treatment options for each. Anatomic, inflammatory, and neuromuscular esophageal causes of dysphagia are also evaluated. In addition, it delves into the impact of craniofacial anomalies, sialorrhea and psychological factors on swallowing. Finally, it discusses how a multidisciplinary aerodigestive team can help streamline multidisciplinary care for individual patients. It will incorporate information pertinent to the different roles, tools and views of a multidisciplinary dysphagia team, including how pediatric otolaryngologists, gastroenterologists, pulmonologists, speech language pathologists, occupational therapists, and dieticians can collaborate to provide optimal evaluation and care of these often challenging patients, especially for those who are at high-risk of complications related to aspiration. 

Editors and Affiliations

  • Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, USA

    Julina Ongkasuwan

  • Pediatric Gastroenterology and Nutrition, Baylor College of Medicine, Houston, USA

    Eric H. Chiou

About the editors

Julina Ongkasuwan, MD, FAAP, FACS, Otolaryngology-Head & Neck Surgery, Baylor College of Medicine, Houston, TX
Dr. Ongkasuwan participates in the Aerodigestive clinic which is a multidisciplinary clinic including pulmonary,otolaryngology, and gastroenterology focusing on complicated patients with airway and swallowing disorders. She also is involved in the development of a multidisciplinary voice and swallowing clinic partnering otolaryngology and speech pathology.Neck Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX.



Eric H Chiou, MD, FAAP, Division of Pediatric Gastroenterology and Nutrition, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX
Dr. Eric H. Chiou attended medical school at Northwestern University and is a pediatric gastroenterology and pediatrics doctor with offices in Houston, Texas.



Bibliographic Information

  • Book Title: Pediatric Dysphagia

  • Book Subtitle: Challenges and Controversies

  • Editors: Julina Ongkasuwan, Eric H. Chiou

  • DOI: https://doi.org/10.1007/978-3-319-97025-7

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing AG, part of Springer Nature 2018

  • Hardcover ISBN: 978-3-319-97024-0Published: 18 October 2018

  • Softcover ISBN: 978-3-030-07286-5Published: 25 January 2019

  • eBook ISBN: 978-3-319-97025-7Published: 03 October 2018

  • Edition Number: 1

  • Number of Pages: XI, 316

  • Number of Illustrations: 22 b/w illustrations, 38 illustrations in colour

  • Topics: Otorhinolaryngology

Buy it now

Buying options

eBook USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access