Pediatric Swallowing and Feeding Assessment and Management (Second Edition)

Pediatric Swallowing and Feeding Assessment and Management (Second Edition)

International Journal of Pediatric Otorhinolaryngology 65 (2002) 263 /264 www.elsevier.com/locate/ijporl Book review Pediatric Swallowing and Feedin...

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International Journal of Pediatric Otorhinolaryngology 65 (2002) 263 /264 www.elsevier.com/locate/ijporl

Book review Pediatric Swallowing and Feeding Assessment and Management (Second Edition) Joan C. Arvedson, Linda Brodsky, Singular Publishing Group, Albany, New York, 2002. 628 pp. (including glossary); Price: Publisher’s list price not known, ISBN 0-7693-0076-6; soft cover The first edition of Pediatric Swallowing and Feeding is recognized as a standard reference text on feeding and swallowing disorders in children. The new second edition maintains this criterion by highlighting recent developments in the field including new research findings, advances in technology, surgery and pharmacology, and the current state-of-the-art for management of pediatric patients with dysphagia. The authors continue to emphasize an interdisciplinary interaction among the many subspecialties involved in the care of pediatric patients. In keeping with the first edition, the authors present a multidisciplinary format written in a practical and informative manner that blends theoretical and clinical principles for guiding team decisions in patient care. Throughout the new text, relevant chapters on the instrumental evaluation of the upper airway, the management of craniofacial anomalies (primarily cleft lip and palate), new surgical interventions for aspiration and the management of drooling, and strategies for treatment of chronic aspiration will be of great relevance to the pediatric otolaryngologist. Although not exhaustive in regards to head and neck physiology, surgical techniques, or instrumental procedures, the pediatric otolaryngologist will find this edition an essential guide for understanding the breadth of feeding and swallowing problems encountered clinically and the range of management strategies that can be provided by the various subspecialties. Several additional case examples help the reader gain insight into cross-discipline approaches. For

example, Chapter 4 discusses the management of gastroesophageal reflux disease and extra-esophageal disease (GERD/EERD) from an otolaryngologist’s perspective. In Chapter 5, GERD/EERD are approached from a gastroenterologist’s viewpoint. The authors link the interdisciplinary messages of these chapters by cross-referencing the reader to each Chapter’s tables and citations. The second edition includes updates to the original publication. The first section features a review of pediatric upper aerodigestive anatomy, physiology and pathophysiology. However, the text is now organized to reinforce the unique feeding /swallowing needs of children throughout their growth and development. There is a strong emphasis on current approaches to management and intervention using neurodevelopmental strategies with a clear distinction between the preterm infant, the term neonate, and the young child. Salient points in team evaluation and intervention of children at each developmental stage are illustrated through the incorporation of numerous clinical case studies. The use of photographs and diagrams is particularly useful for identifying differences between normal (and abnormal) postures and tone. An emphasis on these differences across the developmental spectrum stresses the complexity of service provisions necessary to meet the specific developmental needs of each child. The new edition also provides an update on current approaches to the management of drooling and the care of children with craniofacial anomalies. Additional chapters have been added on chronic aspiration and the psychological and behavioral problems associated with feeding. New to the second edition are added illustrations to help the reader identify various anomalies, instrumentations, and procedures. Chapter 13 is of particular relevance as it provides a practical review of the importance of child /caregiver interactions and management via behavioral treatment

0165-5876/02/$ - see front matter # 2002 Elsevier Science Ireland Ltd. All rights reserved. PII: S 0 1 6 5 - 5 8 7 6 ( 0 2 ) 0 0 2 0 5 - 7

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approaches. The chapter on pediatric nutrition is extremely useful and timely. These expanded and updated chapters address the bioethics of eating disorders in a thorough and thought-provoking manner. The second edition remains extremely comprehensive in its scope, and an important resource for all disciplines interested in pediatric dysphagia. However, several case studies mention instrumentation or medical data that are not fully described in the text and yet are particularly important to understand for clinicians working in neonatal intensive care units or with children with special needs. These include pulse oximetry, CPAP, cardio-respiratory monitors, the use of ‘talking’ and other tracheostomy valves, and ventilator interactions. Descriptions of their purpose in diagnosis or treatment of feeding and swallowing difficulties would be useful. Although there are numerous references and descriptions of standardized and non-standardized measurement tools specific to

feeding and swallowing, there is little mention of neurobehavioral evaluations routinely used in infant evaluation by other medical professions (e.g. the Neonatal Behavioral Assessment Scale (NBAS) by Brazelton, 1984; The Assessment of Preterm Infant Behavior (APIB) by Als, Lester, Tronick, and Brazelton, 1982; or The Naturalistic Observation of the Preterm Neonate by Als, 1984). These particulars; however, do not negate the outstanding efforts by the authors to provide all practitioners with the most up-to-date information on the care of infants and children with dysphagia. Readers will no doubt wish to include in their reference libraries this second edition of Pediatric Swallowing and Feeding . Jeri L. Miller National Institutes of Health, Bethesda, MD, USA E-mail: [email protected]