Perioperative Assessment/Prehabilitation in Larynx Cancer

Otolaryngol Clin North Am. 2023 Apr;56(2):205-214. doi: 10.1016/j.otc.2022.12.003.

Abstract

Head and neck cancer (HNC) survivorship is increasing, and with it, a shift in treatment practices has occurred. Radical surgical resections for the treatment of HNC have decreased, and organ preservation treatments have increased. Although effective in treating HNC, chemoradiation therapy toxicities can be detrimental to a patient's overall health, nutrition status, and quality of life (QOL). Considering that dysphagia is typically a driving element of dysfunction, speech-language pathologists are vital to the prehabilitation phase. Prehabilitation programs include a variety of components, with the primary goal being to improve functional and QOL outcomes posttreatment.

Keywords: Cancer prehabilitation; Deglutition; Dysphagia; Head and neck cancer; Prophylactic swallowing exercises.

Publication types

  • Review

MeSH terms

  • Deglutition
  • Deglutition Disorders* / etiology
  • Deglutition Disorders* / therapy
  • Head and Neck Neoplasms* / surgery
  • Humans
  • Laryngeal Neoplasms* / surgery
  • Preoperative Exercise
  • Quality of Life