Why We Can’t Ignore the Airway in Pediatric Feeding Therapy
Sun Feb 01 2026
In this episode of The Untethered Podcast, Hallie Bulkin dives deep into the non-negotiable link between how a child breathes and how they eat. This conversation provides the essential clinical "missing link" for pediatric therapy: The Airway.
Hallie challenges the idea that mouth breathing is "just a habit," reframing it as a structural adaptation that can stall even the best feeding therapy plans. If you’ve ever had a patient hit a plateau or show signs of "feeding fatigue," this episode will show you why you must look at the nose and the airway before you can fix the plate.
IN THIS EPISODE, YOU’LL LEARN:
✔️ The Adaptation Myth: Why mouth breathing is a physiological survival mechanism, not a behavioral choice.✔️ Structural Consequences: How chronic open-mouth posture alters dentofacial development and maxillofacial growth over time.✔️ The "Airway Trumps Everything" Rule: Why the body will always prioritize breathing over eating, and how this creates "feeding fatigue."✔️ The Airway Lens: How to integrate airway and sleep screenings into your standard feeding evaluations.✔️ Beyond the Plate: Recognizing when feeding therapy alone isn't enough and when to refer out for airway obstruction.✔️ Efficiency vs. Effort: How open mouth posture impacts a child's ability to coordinate the suck-swallow-breathe sequence.
KEY TAKEAWAYS & SOUND BITES
"Mouth breathing is not just a habit. It is an adaptation. We have to ask: What is blocking nasal breathing?"
"Airway trumps everything. If the body is fighting for air, it will never prioritize the complex mechanics of feeding."
RELATED EPISODES YOU MIGHT LOVE
Ep 337: Unlocking Pediatric Feeding: Expert Strategies with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™How Pediatric Feeding Changed in 2025—and What It Means for Clinicians
OTHER WAYS TO CONNECT & LEARN
💬 Let’s hang out on social: Instagram | Facebook | LinkedIn
⭐ Love the show? Leave a quick review — it means the world to me!
Hosted on Acast. See acast.com/privacy for more information.
More
In this episode of The Untethered Podcast, Hallie Bulkin dives deep into the non-negotiable link between how a child breathes and how they eat. This conversation provides the essential clinical "missing link" for pediatric therapy: The Airway. Hallie challenges the idea that mouth breathing is "just a habit," reframing it as a structural adaptation that can stall even the best feeding therapy plans. If you’ve ever had a patient hit a plateau or show signs of "feeding fatigue," this episode will show you why you must look at the nose and the airway before you can fix the plate. IN THIS EPISODE, YOU’LL LEARN: ✔️ The Adaptation Myth: Why mouth breathing is a physiological survival mechanism, not a behavioral choice.✔️ Structural Consequences: How chronic open-mouth posture alters dentofacial development and maxillofacial growth over time.✔️ The "Airway Trumps Everything" Rule: Why the body will always prioritize breathing over eating, and how this creates "feeding fatigue."✔️ The Airway Lens: How to integrate airway and sleep screenings into your standard feeding evaluations.✔️ Beyond the Plate: Recognizing when feeding therapy alone isn't enough and when to refer out for airway obstruction.✔️ Efficiency vs. Effort: How open mouth posture impacts a child's ability to coordinate the suck-swallow-breathe sequence. KEY TAKEAWAYS & SOUND BITES "Mouth breathing is not just a habit. It is an adaptation. We have to ask: What is blocking nasal breathing?" "Airway trumps everything. If the body is fighting for air, it will never prioritize the complex mechanics of feeding." RELATED EPISODES YOU MIGHT LOVE Ep 337: Unlocking Pediatric Feeding: Expert Strategies with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™How Pediatric Feeding Changed in 2025—and What It Means for Clinicians OTHER WAYS TO CONNECT & LEARN 💬 Let’s hang out on social: Instagram | Facebook | LinkedIn ⭐ Love the show? Leave a quick review — it means the world to me! Hosted on Acast. See acast.com/privacy for more information.