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CASE REPORT
Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer
  1. Ceri Childs and
  2. Sally K Archer
  1. Speech and Language Therapy, Guys and St Thomas NHS Foundation Trust, London, UK
  1. Correspondence to Ceri Childs, ceri.childs2{at}nhs.net

Abstract

A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate–severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.

  • cancer intervention
  • nutritional support
  • lung cancer (oncology)
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Footnotes

  • Contributors CC is the primary author of this article, responsible for its conception, design, data acquisition and its interpretation, drafting, revising and writing the final version. SKA has made a substantial contribution to the conception and design of the article and acquisition of data; revising it critically; approving the final version. Both authors are in agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests Not declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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