Dawson C, Pracy P, Patterson J, Paleri V
Department of Speech and Language Therapy,University Hospitals Birmingham NHS Trust,UK.
Department of Otolaryngology - Head and Neck Surgery,University Hospitals Birmingham NHS Trust,UK.
J Laryngol Otol. 2019 Mar;133(3):177-182. doi: 10.1017/S0022215119000483.
It is recognised that a limited cohort of patients receive open partial laryngeal surgery in specific centres within the UK, so sharing information around key clinical issues and recommendations for practice is necessary to improve outcomes.
This position statement provides practice recommendations based on a synthesis of the available evidence presented at the 12th Evidence Based Management day on 'Laryngeal Cancer' and the ensuing discussions. Literature searches and critical analysis of available evidence were undertaken and triangulated with the clinical experience of the authors to develop these recommendations.Results and conclusionThis paper presents a comprehensive overview of challenges that the multidisciplinary team may encounter. It provides recommendations for swallow and speech rehabilitation after open partial laryngectomy, and suggests practical ways that these issues may be addressed pre- and post-operatively.
人们认识到，在英国的特定中心，只有有限的一部分患者接受开放性部分喉手术，因此分享关键临床问题及实践建议的信息对于改善治疗效果很有必要。
本立场声明基于在第12届“喉癌”循证管理日所展示的现有证据综合内容及随后的讨论，提供了实践建议。进行了文献检索及对现有证据的批判性分析，并结合作者的临床经验进行三角互证以制定这些建议。
本文全面概述了多学科团队可能遇到的挑战。它提供了开放性部分喉切除术后吞咽和言语康复的建议，并提出了术前和术后解决这些问题的实用方法。
