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Published on: March 1, 2015
Remediation challenges in treating dysphagia post head/neck cancer. A problem-oriented approach
1Speech Language Pathology Section, National Institutes of Health, Bethesda, MD 20892.
Clinics in Communication Disorders
|January 1, 1993
Summary
A problem-oriented dysphagia treatment approach improved swallowing for a head/neck surgery patient with a hematologic condition. This hierarchical exercise regimen led to full oral intake and weight restoration.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Speech-Language Pathology
Background:
- Dysphagia following head and neck surgery presents significant challenges.
- Patients with hematologic conditions may experience complex swallowing difficulties.
- A structured, problem-oriented approach is needed for effective dysphagia rehabilitation.
Observation:
- A patient with post-surgical dysphagia and a hematologic condition was treated.
- Treatment utilized a hierarchical, problem-oriented approach.
- Included passive and active exercises, sensory stimulation, and oral motor tasks.
Findings:
- A 3-month treatment regimen involving oral sensory motor stimulation and graded exercises improved swallowing.
- The patient achieved total oral nutritional intake.
- Normal weight was restored, enabling return to social and vocational activities.
Implications:
- This graded, problem-oriented dysphagia treatment can be effective for complex cases.
- Restoration of swallowing function significantly improves quality of life.
- Highlights the importance of tailored rehabilitation strategies for post-surgical patients.
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