Childs Ceri, Archer Sally K
Speech and Language Therapy, Guys and St Thomas NHS Foundation Trust, London, UK.
BMJ Case Rep. 2019 May 6;12(5):e227629. doi: 10.1136/bcr-2018-227629.
A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate-severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.
一名75岁患者在被诊断为复发性非小细胞肺癌继发单侧声带麻痹后，被转介至言语和语言治疗科进行嗓音康复治疗。经评估，该患者存在中重度发音障碍。此外，患者还存在中度咽期吞咽困难并有隐性误吸风险，通过简单的转头策略成功解决了这一问题。对于患有上胸部或纵隔疾病的患者来说，这种情况并不罕见，提高对此类症状的认识和预判，并及时转介至合适的专科服务机构，有助于预防与吞咽困难相关的并发症，如吸入性肺炎和生活质量下降。
