{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T12:18:01Z","timestamp":1793881081670,"version":"4.7.0"},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"S2","license":[{"start":{"date-parts":[[2016,5,12]],"date-time":"2016-05-12T00:00:00Z","timestamp":1463011200000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The disease itself and the treatment can have far reaching effects on speech and swallow function, which are consistently prioritised by survivors as an area of concern. This paper provides recommendations on the assessments and interventions for speech and swallow rehabilitation in this patient group.<\/jats:p>\n                  <jats:sec id=\"S0022215116000608_sec_a1\">\n                    <jats:title>Recommendations<\/jats:title>\n                    <jats:p>\u2022 All multidisciplinary teams should have rehabilitation patient pathways covering all stages of the patient's journey including multidisciplinary and pre-treatment clinics. (G)<\/jats:p>\n                    <jats:p>\u2022 Clinicians treating head and neck cancer patients should consult the National Cancer Rehabilitation Pathway for head and neck cancers. (G)<\/jats:p>\n                    <jats:p>\u2022 All head and neck cancer patients should have a pre-treatment assessment of speech and swallowing. (G)<\/jats:p>\n                    <jats:p>\u2022 A programme of prophylactic exercises and the teaching of swallowing manoeuvres can reduce impairments, maintain function and enable a speedier recovery. (R)<\/jats:p>\n                    <jats:p>\u2022 Continued speech and language therapist input is important in maintaining voice and safe and effective swallow function following head and neck cancer treatment. (R)<\/jats:p>\n                    <jats:p>\u2022 Disease recurrence must be ruled out in the management of stricture and\/or stenosis. (R)<\/jats:p>\n                    <jats:p>\u2022 Continuous radial expansion balloons offer a safe, effective dilation method with advantages over gum elastic bougies. (R)<\/jats:p>\n                    <jats:p>\u2022 Site, length and completeness of strictures as well as whether they are in the presence of the larynx or not, need to be assessed when establishing the likelihood of surgically improved outcome. (G)<\/jats:p>\n                    <jats:p>\u2022 Primary surgical voice restoration should be offered to all patients undergoing laryngectomy. (R)<\/jats:p>\n                    <jats:p>\u2022 Attention to surgical detail and long-term speech and language therapist input is required to optimise speech and swallowing after laryngectomy. (G)<\/jats:p>\n                    <jats:p>\u2022 Patients should commence wearing heat and moisture exchange devices as soon as possible after laryngectomy. (R)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215116000608","type":"journal-article","created":{"date-parts":[[2016,5,12]],"date-time":"2016-05-12T06:37:06Z","timestamp":1463035026000},"page":"S176-S180","source":"Crossref","is-referenced-by-count":124,"title":["Speech and swallow rehabilitation in head and neck cancer: United Kingdom National Multidisciplinary Guidelines"],"prefix":"10.1017","volume":"130","author":[{"given":"P","family":"Clarke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Radford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Coffey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,5,12]]},"reference":[{"key":"S0022215116000608_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70160-8"},{"key":"S0022215116000608_ref18","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.2.181"},{"key":"S0022215116000608_ref4","doi-asserted-by":"crossref","DOI":"10.1097\/00020840-199812000-00008","volume-title":"Evaluation and Treatment of Swallowing Disorders","author":"Logemann","year":"1998"},{"key":"S0022215116000608_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31815659b0"},{"key":"S0022215116000608_ref2","unstructured":"National Cancer Action Team. DH. Rehabilitation Care Pathway Head & Neck. 2010. In: http:\/\/webarchive.nationalarchives.gov.uk\/20130513211237\/http:\/www.ncat.nhs.uk\/ (accessed 27 April 2016)"},{"key":"S0022215116000608_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9189-5"},{"key":"S0022215116000608_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21657"},{"key":"S0022215116000608_ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.6.526"},{"key":"S0022215116000608_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20251"},{"key":"S0022215116000608_ref11","first-page":"219","article-title":"Prevalence of pharyngeal and esophageal stenosis following radiation for head and neck cancer","volume":"37","author":"Nguyen","year":"2008","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"S0022215116000608_ref1","unstructured":"Prosthetic Surgical Voice Restoration (SVR): The role of the speech and language therapist Policy Statement. 2010, Royal College of Speech and Language Therapists. 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Curr Opin Otolaryngol Head Neck Surg 2011;19:144\u20139","DOI":"10.1097\/MOO.0b013e3283457616"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215116000608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T15:36:00Z","timestamp":1555688160000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215116000608\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5]]},"references-count":19,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["S0022215116000608"],"URL":"https:\/\/doi.org\/10.1017\/s0022215116000608","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5]]}}}