{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T08:53:49Z","timestamp":1764752029212,"version":"3.46.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125103423_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Severe laryngeal dysfunction following (chemo)radiotherapy for head and neck cancer may be managed with functional salvage total laryngectomy (FSTL). We investigated communication and swallowing outcomes following FSTL at our tertiary centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103423_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients treated with FSTL from 2009\u20132023 were included. Functional Oral Intake Scale score and primary mode of communication were recorded at pre-surgical baseline, point of discharge from inpatient admission, six and 12 months post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103423_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten patients were identified. Pre-surgery all patients were nil by mouth due to severe dysphagia, and 70 per cent were communicating verbally. By 12 months post-surgery, 70 per cent were tolerating full oral intake and 40 per cent were using surgical voice restoration as the primary mode of communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103423_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Variability in functional outcome must be explained to patients who are offered surgical management of non-functioning larynx, and further work is needed to identify factors that may influence outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125103423","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T08:42:58Z","timestamp":1756716178000},"page":"1163-1168","source":"Crossref","is-referenced-by-count":0,"title":["Communication and swallowing outcomes following functional salvage total laryngectomy"],"prefix":"10.1017","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4896-1444","authenticated-orcid":false,"given":"Jane","family":"Dunton","sequence":"first","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Archer","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricard","family":"Simo","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"S0022215125103423_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1598-x"},{"key":"S0022215125103423_ref19","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1001\/archoto.2012.862","article-title":"Total laryngectomy for a dysfunctional larynx after (chemo)radiotherapy","volume":"138","author":"Theunissen","year":"2012","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"S0022215125103423_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24448"},{"key":"S0022215125103423_ref17","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30844"},{"key":"S0022215125103423_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05809-y"},{"key":"S0022215125103423_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(23)00265-6"},{"key":"S0022215125103423_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23305"},{"key":"S0022215125103423_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-09621-1_28"},{"key":"S0022215125103423_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.05.017"},{"key":"S0022215125103423_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820947702"},{"key":"S0022215125103423_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"S0022215125103423_ref1","first-page":"S2","article-title":"Head and neck cancer: United Kingdom National Multidisciplinary Guidelines","volume":"130","author":"Paleri","year":"2016","journal-title":"J Laryngol Otol"},{"key":"S0022215125103423_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27631"},{"key":"S0022215125103423_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000608"},{"key":"S0022215125103423_ref18","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.0049"},{"key":"S0022215125103423_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000757"},{"key":"S0022215125103423_ref12","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2020.01390"},{"key":"S0022215125103423_ref8","first-page":"1","article-title":"Primary mode of communication for people with total laryngectomy in the United Kingdom: a cross-sectional survey","volume":"11","author":"Woodman","year":"2024","journal-title":"J Laryngol Otol"},{"key":"S0022215125103423_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811432264"},{"key":"S0022215125103423_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000162"},{"key":"S0022215125103423_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29027"},{"key":"S0022215125103423_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2018.06.003"},{"key":"S0022215125103423_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26760"}],"container-title":["The Journal of Laryngology &amp; 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