Blaurock Markus, Busch Chia-Jung, Wiese Mats Lukas
Klinik für Hals‑, Nasen‑, Ohrenkrankheiten, Kopf- und Halschirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland.
Fachbereich Oecotrophologie, Facility Management, FH Münster, Münster, Deutschland.
HNO. 2025 Jun;73(6):430-440. doi: 10.1007/s00106-025-01637-w. Epub 2025 May 8.
Prehabilitation is gaining traction in complex oncological interventions and treatments. This CME article is focused on the basic principles of prehabilitation. We discuss the objective evaluation of physical fitness and how to improve it by physio- and speech therapy. Thereafter, we explain how to judge nutritional status, especially in oncological patients, and discuss modes of nutritional supplementation. Finally, the enhanced recovery after surgery concept is briefly explained and its current value in head and neck cancer patients discussed.
术前康复在复杂的肿瘤干预和治疗中越来越受到关注。这篇继续医学教育文章聚焦于术前康复的基本原则。我们讨论了体能的客观评估以及如何通过物理治疗和言语治疗来改善体能。此后，我们解释了如何判断营养状况，尤其是肿瘤患者的营养状况，并讨论了营养补充的方式。最后，简要解释了术后加速康复概念，并讨论了其在头颈癌患者中的当前价值。
