title: Swallowing after laryngectomy.
abstract: OBJECTIVE
  This article examines the emergence of dysphagia as an area for rehabilitation postlaryngectomy. The use of dysphagia evaluation tools postlaryngectomy is described and the causes of dysphagia discussed.
  
  
  RESULTS
  Although the risk of aspiration postlaryngectomy is low, significant symptoms of dysphagia can exist in this patient population. A comprehensive evaluation is the cornerstone for both the identification and management of postlaryngectomy dysphagia. The tool predominantly used to evaluate laryngectomy to date has been videofluoroscopy. The use of this tool in this patient population is described together with fibreoptic endoscopic evaluation of swallowing and manometry. Common causes for dysphagia postlaryngectomy are outlined. Some of the surgical and behavioural interventions used to manage postlaryngectomy dysphagia are discussed.
  
  
  CONCLUSIONS
  A significant proportion of postlaryngectomy patients can present with dysphagia. Comprehensive swallowing evaluation can illuminate the causes of dysphagia in this patient population and facilitate their management.
authors.affiliation: aImperial College Healthcare Trust, Speech and Language Therapy Charing Cross Hospital bImperial College Healthcare Trust, St Mary's Hospital, London, UK.
authors.forename: Margaret
authors.initials: M
authors.lastname: Coffey
authors.forename: Neil
authors.initials: N
authors.lastname: Tolley
mesh_terms: D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology / Q000534:rehabilitation*; D005471:Fluoroscopy; D006801:Humans; D007825:Laryngectomy; D007828:Laryngoscopy; D008365:Manometry; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000534:rehabilitation*