Early comprehensive rehabilitation of patient with postoperative dysphagia

Orlova OS1,2,3, Magomed-Eminov MSh4, Uklonskaya DV5, Zborovskaya YuM4
About authors

1 Federal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency, Moscow, Russia

2 National Medical Research Center for Otorlaryngology of Federal Medical Biological Agency, Moscow, Russia

3 Moscow Pedagogical State University, Moscow, Russia

4 Lomonosov Moscow State University, Moscow, Russia

5 Central Clinical Hospital RZD-Medicine, Moscow, Russia

Correspondence should be addressed: Daria V. Uklonskaya
Budayskaya, 2, Moscow, 129128, Russia; ur.liam@ayaksnolku_d

About paper

Author contribution: Orlova OS, Magomed-Eminov MSh, Uklonskaya DV — study concept; Uklonskaya DV, Zborovskaya YuM — literature review; Uklonskaya DV, Zborovskaya YuM — research procedure; Uklonskaya DV, Zborovskaya YuM — manuscript writing; Orlova OS, Magomed-Eminov MSh — editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Federal Center of Brain and Neurotechnologies of FMBA of Russia (protocol № 01/28-03-22 dated March 28, 2022), and conducted in accordance with the Declaration of Helsinki of the World Medical Association; the patient submitted the informed consent to participation and release of data.

Received: 2022-03-31 Accepted: 2022-05-05 Published online: 2022-06-01

Postoperative paresis and paralysis of the larynx, associated with breathing, voice and swallowing disorders, are actual problem of surgical treatment of the thyroid and mediastinal diseases. Traditionally, more attention is paid to phonation disorders treatment. Swallowing recovery methods are not described sufficiently. The paper reports a clinical case of early speech therapy intervention aimed at alleviating postoperative dysphagia caused by the limited flexibility of the larynx. Detailed swallowing disorder diagnosis in patient was carried out before and after the logopaedic correction of dysphagia. The main directions and results of the correctional and pedagogical work with psychological support within comprehensive rehabilitation are described. The findings confirm the need for correctional impact during the early stages of rehabilitation in case of dysphagia in surgical patients with the paresis or paralysis of the larynx.

Keywords: psychological support, paresis and paralysis of the larynx, dysphagia, logopaedic impact, early rehabilitation