Table Of ContentCLINICAL
&
ANATOMY
PHYSIOLOGY
SWALLOW
of the
MECHANISM
Second Edition
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CLINICAL
&
ANATOMY
PHYSIOLOGY
SWALLOW
of the
MECHANISM
Second Edition
Kim Corbin-Lewis, PhD, CCC-SLP
Professor and Department Head
Communicative Disorders and Deaf Education
Utah State University
Julie M. Liss, PhD, CCC-SLP
Professor
Department of Speech and Hearing Science
Arizona State University
Australia • Brazil • Japan • Korea • Mexico • Singapore • Spain • United Kingdom • United States
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Clinical Anatomy & Physiology of the © 2015, 2005 Cengage Learning
Swallow Mechanism, Second Edition
WCN: 02-200-203
Kim Corbin-Lewis and Julie M. Liss
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CONTeNTS
Preface ix
About the Authors xiii
Acknowledgments xv
Reviewers xvii
Chapter 1 Examination of the Oral Swallow Component 1
Phases of Deglutition 2
Structural Framework for the Swallow Mechanism 2
Visual Inspection of Structures in the Oral Cavity 13
Sensory Receptors 45
Summary 46
Study Questions 47
References 47
Chapter 2 Examination of the Pharyngeal Swallow Component 51
Pharyngeal Anatomy 55
Swallowing and Respiration 77
Summary 79
Study Questions 80
References 80
Chapter 3 Examination of the Esophageal Swallow Component 83
esophageal Structure 85
esophageal Innervation 90
esophageal Physiology 100
esophageal Pressure Measurement Using Manometry 108
v
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vi Contents
Summary 110
Study Questions 110
References 111
Chapter 4 Control of the Normal Swallow 115
Supranuclear (Above The Brainstem) Structures
Involved in the Swallow 116
Neural Regulation of Swallowing 118
Modeling Swallowing and Dysphagia 120
Summary 132
Study Questions 133
References 133
Chapter 5 Direct and Indirect Oropharyngeal
and Esophageal Imaging
137
Anatomical Planes of View 138
Diagnostic Imaging Methodologies 155
Summary 178
Study Questions 179
References 179
Chapter 6 Physiological Bases of Neurogenic
Etiologies of Dysphagia
185
Neurogenic Dysphagia 186
Neurological Pathology 187
Clinical Presentation of Neurogenic Dysphagia 194
Summary 205
Study Questions 205
References 205
Chapter 7 Physiological Bases of Structural
Etiologies of Dysphagia
211
Acute Structural Changes 212
Progressive Transformations 228
Head and Neck Cancer 237
Pharyngeal Cancer 240
Laryngeal Cancer 241
esophageal Neoplasms 246
Radiation Treatment for Head and Neck Cancer 246
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Contents vii
Summary 249
Study Questions 249
References 250
Chapter 8 Physiological Bases of
Compensatory Treatment Strategies
257
Current Theoretical Treatment Model 258
Treatment Considerations 259
Physiologic Bases for Compensatory Treatments 260
Summary 275
Study Questions 275
References 276
Chapter 9 Physiological Bases of
Rehabilitative Treatment Strategies
283
Strength Training 284
Neuromuscular Stimulation 294
Summary 297
Study Questions 298
References 298
Appendix A Cranial Nerve examination 303
Appendix B Supplementary Images and Schematics 307
Appendix C Answers to Study Questions 333
Glossary 341
Index 357
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