Susan G. (Hiss) Butler, PhD, MS, CCC-SLP
Associate Professor
Director of Research
Interests
Dr. Butler works in the Center for Voice and Swallowing Disorders in the Department of Otolaryngology. She specializes in adult swallowing disorders that have occurred as the result of head and neck cancer, neurological diseases and insults, gastroesophageal reflux disease, pulmonary disease, and cervical spine surgery.
Dr. Butler offers evaluation of dysphagia that includes flexible endoscopic evaluation of swallowing (FEES), pharyngeal/UES manometry, modified barium swallow studies (MBS), and swallowing-respiration coordination assessment. Dr. Butler also provides innovative and comprehensive dysphagia rehabilitation utilizing surface electromyographic biofeedback, lingual manometry biofeedback, endoscopic biofeedback, swallowing-respiration coordination biofeedback, physiologic exercises, and research protocoled e-stim.
Dr. Butler has held over 50 seminars nation-wide training individuals in Flexible Endoscopic Evaluation of Swallowing and has provided hundreds of presentations on advanced dysphagia evaluation and management across the country.
Dr. Butler is an active researcher and publisher in swallowing and swallowing disorders, and has won the prestigious scientific presentation award of the Dysphagia Research Society for two years. Dr. Butler has also chaired the American Speech-Language-Hearing Association Videofluoroscopy Swallowing Study Guidelines and Swallowing and Swallowing Disorders Continuing Education Committees.
Education
North Carolina State University
Raleigh, NC
B.A., 1992
University of North Carolina at Chapel Hill
Chapel Hill, NC
M.S., 1994
East Carolina University
Greenville, NC
Ph.D., 2001
Certification
· American Speech, Language, and Hearing Association. Certificate of Clinical Competence. Awarded 1995. Current. #01101783.
· State of New Jersey. State Licensure for Speech-Language Pathology. Awarded 2001.
· State of North Carolina. State Licensure for Speech and Language Pathology. Awarded 1995. Current.
Awards and Honors
· First Place Oral Presentation Award, Dysphagia Research Society Tenth Annual Meeting. “Effects of age, gender, bolus volume, bolus viscosity, and gustation on swallowing apnea onset relative to lingual bolus propulsion in normal adults.” Albuquerque, New Mexico, USA, 2001.
· Second Place Oral Presentation Award, Dysphagia Research Society Eleventh Annual Meeting. “Swallowing apnea as a function of airway closure.” Miami, Florida, USA, 2002.
· Distinguished Graduate Alumni Recipient, University of North Carolina at Chapel Hill, 2003.
· Elected to North Carolina Speech-Hearing & Language Association Board of Directors 1998 & 1999.
· Elected as North Carolina Association of Supervisors in Speech and Language Pathology & Audiology Secretary 1998 & 1999.
· Invited Developer and Coordinator for the North Carolina Board of Examiners Speech Language Pathology Assistant Dysphagia Pilot Program.
· Invited Participant. Neurorehabilitation Workgroups: Innovation and Evolution. Gainesville, Florida. April 10-12, 2005.
· ASHA ACE Award Recipient x 5
Committee Participation
· Chair, American Speech-Language-Hearing Association, Special Interest Division 13, Swallowing and Swallowing Disorders Continuing Education Committee, 2003 - 2004.
· Program Committee Member for 2002 Dysphagia Research Society Conference.
· Program Committee Member for ASHA Convention 2003 Swallowing and Swallowing Disorders.
· Chair, American Speech-Language-Hearing Association Workgroup for document development: "Videofluoroscopic Procedures in Swallowing" and revision of "Clinical Indicators for Instrumental Assessment of Dysphagia."
Association and Society Memberships
· Dysphagia Research Society
· American Speech, Language, and Hearing Association Special Interest Division for Swallowing and Swallowing Disorders (13)
· American Speech Language and Hearing Association
Publications
· Hiss, S. G. (2001). Swallowing apnea onset: Causes and relationship to lingual bolus propulsion as a function of varying bolus properties in normal adults and adults with laryngectomy. Dissertation: East Carolina University.
· Hiss, S.G., Treole, K., and Stuart, A. (2001). Effects of age, gender, and repeated measures on intraoral air pressure in normal adults. Journal of Voice, 15, 159-164.
· Hiss, S.G., Treole, K., and Stuart, A. (2001). Effects of age, gender, bolus volume, and trial on swallowing apnea duration and swallow/respiratory phase relationships of normal adults. Dysphagia, 16, 128-135.
· Hiss, S.G. & Postma, G. (2003). Flexible endoscopic evaluation of swallowing, a clinical state of the art review. Laryngoscope, 113:1386-1393.
· Hiss, S.G., Hough, M., Treole, K., Stuart, A., and Boutilier, S. (2003). Swallowing apnea as a function of airway closure. Dysphagia,18, 293-300.
· Hiss, S.G., Hough, M., Treole, K., Stuart, A., and Boutilier, S. (2004). Effects of age, gender, bolus volume, bolus viscosity, and gustation on swallowing apnea onset relative to lingual bolus propulsion in normal adults. Journal of Speech, Language, and Hearing Research, 47, 572-583.
· Butler, S.G. & Postma, G. (2004). Tracheoesophageal fistula: ENT Dysphagia Clinic. Ear, Nose, & Throat Journal, 83, 680.
· Butler, S.G., Postma, G., Fischer, E. (2004). Effects of viscosity, taste, and bolus volume on swallowing apnea duration of normal adults. Otolaryngology-Head and Neck Surgery, 131(6), 860-863.
· Postma, G.N., Butler, S.G., Belafsky, P.C., Halum, S.L. (2004). Normal pharyngeal and upper esophageal sphincter manometry. Ear Nose Throat Journal, 83, 809.
· Hiss, S.G., Huckabee, M.L. (2005). Timing of pharyngeal and upper esophageal sphincter pressures as a function of normal and effortful swallowing in young healthy adults. Dysphagia, 20, (2) 1-8.
· Halum, S.L., Butler S.G., Koufman, J.A., Postma, G.N. (2005). Treatment of globus by upper esophageal sphincter injection with botulinum A toxin. Ear Nose Throat Journal, 84, 74.
· Butler, S.G., Postma, G.N., Halum, S.L. (2005). Dysphagia following anterior cervical fusion. Ear Nose Throat Journal, 84, 208.
· Huckabee, M.L., Butler, S.G., Barclay, M., Jit, S. (2005). Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing. Archives of Physical Medicine and Rehabilitation, 86(11), 2144-9.
· Cunningham, J., Halum, S., Butler, S.G., Postma G., (2006). Intraobserver and Interobserver Reliability in Laryngopharyngeal Sensory Discrimination Testing. Annals of Otology, Rhinology, and Laryngology.
· Robbins, J.A., Butler, S.G., Daniels, S., Gross, R.D., Langmore, S., Lazarus, C., Martin-Harris, B., McCabe, D., Musson, N., Rosenbek, J. Neural Plasticity, Swallowing, and Dysphagia Rehabilitation: Translating Principles of Neural Plasticity into Clinically Oriented Evidence. Journal of Speech, Language, and Hearing Research (submitted).
BOOK REVIEW
· Hiss, S.G. (2001). Book review of Speech Science: An Integrated Approach to Theory and Clinical Practice. Carole T. Ferrand (author). Ear and Hearing, 22, 549.
ASHA PEER REVIEW
· Hiss, S.G. (2002). ASHA Continuing Education Product: FEES: Fiberoptic Endoscopic Evaluation of Swallowing. Susan E. Langmore (author).
· Butler, S.G. (2006). ASHA Continuing Education Product: Medically Fragile Adults: Issues in Evaluation and Treatment. Barbara C. Sonies, Joanne Robbins,& Paula A. Sullivan (authors).
NEWSLETTER REVIEW ARTICLES
· Hiss, S.G. (2002). Review on neuroanatomy of swallowing. Pediatric Feeding and Dysphagia. Hiro Publishing, Carrboro, NC.
· Butler, S.G. (2005). Manometric assessment of swallowing. Pediatric Feeding and Dysphagia. Hiro Publishing, Carrboro, N.C.
CORPORATE ARTICLES
· Hiss, S.G. (1998). Clinical application of the Kay Elemetrics Swallowing Workstation. Kay Elemetrics Swallowing Application Notes and Articles.
· Butler, S.G. (2005). The SLP’s clinical use of pharyngeal and upper esophageal sphincter manometry. Kay Pentax Swallowing Application Notes and Articles.
TEACHING ACTIVITIES
Academic courses taught:
· University of North Carolina - Greensboro, Department of Communication Science and Disorders, Greensboro, NC. CSD 605D: Seminars in Dysphagia, 2006.
· University of North Carolina - Greensboro, Department of Communication Science and Disorders, Greensboro, NC. CSD 605D: Seminars in Dysphagia, 2005.
· University of North Carolina - Greensboro, Department of Communication Science and Disorders, Greensboro, NC. CSD 605D: Seminars in Dysphagia, 2004.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 8301: Neuroanatomy of Swallowing, 2003.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 7501: Research Methods, 2003
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ.
GMSL 8206: Topics in Speech Analysis and Instrumentation, 2002.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 6521: Medical Speech-Language Pathology/Dysphagia, 2003 & 2002.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 6525: Voice and Voice Disorders, 2002.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 5002: Anatomy and Physiology of the Speech and Hearing Mechanism, 2002 & 2001.
· Seton Hall University, Department of Speech-Language Pathology and Audiology, South Orange, NJ. GMSL 6517: Speech Science and Instrumentation, 2001.
· University of North Carolina at Chapel Hill, Speech and Hearing Sciences, Chapel Hill, NC. SPHS 354: Dysphagia, 1996, 1997, 1998, 1999, 2000.
· East Carolina University, Communication Sciences and Disorders, Greenville, NC. CSDI 4000: Introduction to Communication Disorders, 2000.
Recent Select Presentations
· Swallowing Assessment and Rehabilitation in Individuals with Head and Neck Cancer. Wm J Smith Memorial Conference: Cancers of the Head and Neck, Asheville, NC. April 28, 2006.
· Advances in Swallowing Assessment and Rehabilitation. Speech, Language, and Hearing Association of Virginia (SHAV) Annual Convention. Williamsburg, VA. March 9, 2006.
· Fiberoptic Endoscopic Evaluation of Swallowing. Spartanburg Regional Medical Center. Spartanburg, S.C. November 12-13, 2005.
· Endoscopic Normal and Abnormal Swallowing. Contemporary Evaluation and Management of Reflux and Swallowing Disorders, Columbia University Medical Center, NY, NY. November 5, 2005.
· Flexible Endoscopic Evaluation of Swallowing. Vanderbilt Medical Center. Nashville, TN. June 24-25, 2005.
· Flexible Endoscopic Evaluation of Swallowing. New Jersey Speech Language and Hearing Association. Newark, NJ. June 10-11, 2005.
· Dysphagia Evaluation: The Team Approach. Laryngology In-Office Procedures Conference. Winston-Salem, NC. May 20-21.
· Flexible Endoscopic Evaluation of Swallowing Workshop. Children's Hospital of the Kings Daughters, VA. May 13-14, 2005.
· Swallowing Assessment and Management. LDS Hospital. Salt Lake City, UT. May 6-7, 2005.
· Advances in Swallowing Rehabilitation for ENT: Harrill Lecture, Wake Forest University Baptist Medical Center. April 22, 2005.
· Use of One-Way Speaking Valves in the Trached/Vented ICU Population: Panel. American Speech Language Hearing Association Annual Convention, Philadelphia, PA. November 18, 2004.
· Endoscopic Normal and Abnormal Swallowing. Contemporary Evaluation and Management of Reflux and Swallowing Disorders, Columbia University Medical Center, NY, NY. November 6, 2004.
· Globus and Dysphagia. Laryngopharyngeal Reflux Dysphagia and Laryngology. Wake Forest University Baptist Medical Center, Winston-Salem, NC. May 21, 2004.
· State of the Art in Swallowing Assessment: FEES, FEESST, Manometry, ModBASW. Voice Swallowing and Airway Conference. Jupiter, FL. April 17, 2004.
· State of the Art in Swallowing Treatment. Voice Swallowing and Airway Conference. Jupiter, FL. April 17, 2004.
· State of the Art in Swallowing Assessment and Treatment: Short Course. Featured Speaker. North Carolina Speech, Language, and Hearing Association Annual Convention, Asheville, NC. March 31, 2004.
· Dysphagia Rehabilitation in Head and Neck Cancer Patients. Radiation/Oncology Conference, Wake Forest University School of Medicine, March 25, 2004.
· Fiberoptic Endoscopic Evaluation of Swallowing Hands-On Workshop. Galveston, Texas. February 6-7, 2004.
· Fiberoptic Endoscopic Evaluation of Swallowing. Neurosurgery Conference, Wake Forest University School of Medicine, February 3, 2004.
· Alternative Means of Nutrition and Fiberoptic Endoscopic Evaluation of Swallowing. Neurology Conference, Wake Forest University School of Medicine, January 13, 2004
· ICU Patients and Fiberoptic Endoscopic Evaluation of Swallowing. Critical Care Conference, Wake Forest University School of Medicine, January 9, 2004.
· Endoscopic Swallowing Assessments Following Endotracheal Intubation. Pulmonary Conference, Wake Forest University School of Medicine, November 12, 2003.
· FEES, FEESST, Modified Barium Swallow Study, Which, When, and Why? Contemporary Evaluation and Management of Reflux and Swallowing Disorders. Columbia University, November 8, 2003.
· Fiberoptic Endoscopic Evaluation of Swallowing for the Acute Care Patient. Internal Medicine Conference, Wake Forest University School of Medicine. October 16, 2003.
· Pharyngeal Pressure and Upper Esophageal Sphincter Opening Duration and Onset as a Function of Effortful Swallowing. Dysphagia Research Society, San Francisco, CA. October 2, 2003.
· Swallowing Apnea Duration: A New Parameter to Swallowing Assessments? Academy of Otolaryngology, Orlando, Florida, September 23, 2003.
· Dysphagia Evaluations, 41st Annual Basic Science Course Otolaryngology Head and Neck Surgery, Bethesda, MD. March 28, 2003.
· Fiberoptic Endoscopic Evaluation of Swallowing: Hands-on Workshop. Jewish Hospital, Cincinnati, Ohio, February, 7-8, 2003.
· Fiberoptic Endoscopic Evaluation of Swallowing: Hands-on Workshop. Chippenham Medical Center, Richmond, VA. November 2–3, 2002.
· Swallowing apnea as a function of airway closure. Scientific paper. Eleventh Annual Meeting, Dysphagia Research Society, October 3 – 5, 2002, Miami, Florida, USA.
· Fiberoptic Endoscopic Evaluation of Swallowing Workshop. Hampton, Virginia, September 27 – 28, 2002.
· Advanced Dysphagic Case Studies – Videofluoroscopy and Videoendoscopy. A Good Way to Grow: St. Joseph’s Regional Medical Center Annual Fall Conference, October 26, 2002, South Orange, NJ.
· Passy-Muir Speaking Valves in the ICU. ASHA Convention, Atlanta, GA. November 22, 2002.
· Fiberoptic Endoscopic Evaluation of Swallowing, Two-Day Hands-On Workshop. Kindred Healthcare, Greensboro, N.C., July 29-20, 2002.
· Multi-disciplinary integration of fiberoptic endoscopic evaluation of swallowing into acute and sub-acute care. Medical Center of Ocean County. June 19, 2002.
· Dysphagia Team: Utilizing Fiberoptic Endoscopic Evaluation of Swallowing. Meridian Health System, NJ, June 19, 2002.
· Fiberoptic Endoscopic Evaluation of Swallowing. Hampton Univ., Chesapeake, VA, April 26-27, 2002.
· Fiberoptic Endoscopic Evaluation of Swallowing: A Team Approach. Mercy Medical Center, NJ. February 13, 2002.
· The Role of Passy-Muir Tracheostomy Speaking Valves in Fiberoptic Endoscopic Evaluation of Swallowing in the Intensive Care Unit: Grand Rounds. American Speech-Language and Hearing Association Annual Convention, New Orleans, LA. November 16, 2001.
· Temporal Relationship Between Swallowing Apnea Onset and Lingual Bolus Propulsion: Effects of Age, Gender, Bolus Volume, Bolus Viscosity, and Gustation. Scientific Oral Presentation. Dysphagia Research Society, Albuquerque, NM. October 12, 2001.
· Introduction to Fiberoptic Endoscopic Evaluation of Swallowing. St. Joseph’s Hospital and Medical Center, Paterson, NJ. October 5, 2001.
· Fiberoptic Endoscopic Evaluation of Swallowing, Two-Day Hands-On Workshop. Seton Hall University, South Orange, NJ. September 29 – 30, 2001.
· Intraoral Air Pressure as a Function of Age, Gender, and Repeated Measures. Poster presentation. ASHA Convention. November 17, 2000.
· Application of Surface Electromyography, Lingual Manometry, Respiratory Airflow, and Cervical Auscultation in Dysphagia Practice. Mercy Medical Center, Clinton, IA. September 21, 2000.