The anatomy and physiology of the act of swallowing is complex. Becaus
e the swallowing mechanism matures with age, it is important to unders
tand this maturation process from neonate to older child to appreciate
the impact of this changing physiology on pediatric swallowing disord
ers. This article reviews the relevant anatomy, neurologic control mec
hanism, and physiology of swallowing in neonates and children.