{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T13:19:31Z","timestamp":1781183971599,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T00:00:00Z","timestamp":1623888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Airway reconstruction for laryngotracheal stenosis (LTS) encompasses several procedures. Dysphagia is a well\u2010recognised sequela of LTS and airway surgery, however studies have employed mostly non\u2010validated assessments post\u2010operatively in small, heterogenous samples, perpetuating uncertainty around the contributions of LTS and its management to impaired deglutition. Consequently, considerable variation in LTS perioperative nutritional management exists. Our objective was to characterise baseline and post\u2010operative dysphagia with instrumental assessment in an LTS cohort undergoing airway reconstruction and provide a gold\u2010standard management framework for its management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, setting, participants and main outcome measures<\/jats:title><jats:p>We performed a retrospective cohort study of adult airway reconstruction procedures from 2016\u20102020 at our quaternary centre. Patient background, LTS aetiology, procedure type, tube feeding duration, length of stay and serial Functional Oral Intake Scale (FOIS) and International Dysphagia Diet Standardisation Initiative (IDDSI) scores were noted. Baseline, post\u2010operative day one and post\u2010stent removal Fibreoptic Endoscopic Evaluation of Swallow (FEES) generated Penetration Aspiration Scale (PAS) scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010four patients underwent forty\u2010six reconstructions. Baseline incidence of penetration\u2010aspiration was considerably higher than the general population and worsened in the immediate post\u2010operative period, however FOIS and PAS scores generally returned to baseline by discharge. Post\u2010operative FOIS correlated negatively with tracheostomy or airway stent placement. At discharge, 80% tolerated soft or normal diet and 93% were feeding tube independent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We present the largest adult airway reconstruction cohort with instrumental swallow assessment perioperatively. LTS patients have a higher incidence of underlying dysphagia but swallowing tends to return to baseline with appropriate postoperative rehabilitation. Such practice may avoid the complications, costs and morbidity of prolonged nutritional support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13820","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T17:55:12Z","timestamp":1622829312000},"page":"1229-1236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Perioperative instrumental swallowing evaluation in adult airway reconstruction: A retrospective observational cohort study"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3600-7987","authenticated-orcid":false,"given":"Matthew","family":"Haywood","sequence":"first","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Lovell","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Roe","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Clunie","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guri","family":"Sandhu","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5771-5096","authenticated-orcid":false,"given":"Chadwan","family":"Al Yaghchi","sequence":"additional","affiliation":[{"name":"National Centre for Airway Reconstruction Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000362"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.2562"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24956"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2013.05.002"},{"key":"e_1_2_12_6_1","first-page":"512","volume-title":"Laryngeal and Tracheobronchial Stenosis","author":"Sandhu G","year":"2014"},{"issue":"4","key":"e_1_2_12_7_1","first-page":"1","article-title":"Management of swallowing in adults undergoing laryngotracheal resection and reconstruction","volume":"3","author":"Holman A","year":"2018","journal-title":"Perspect ASHA Spec Interes Groups"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.03.07"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414525920"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312201108"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000228006.21941.12"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2018.06.001"},{"key":"e_1_2_12_13_1","first-page":"109","volume-title":"Practical Laryngology","author":"Sandhu G","year":"2016"},{"key":"e_1_2_12_14_1","unstructured":"Royal College of Speech and Language Therapists.Videofluoroscopic evaluation of oropharyngeal swallowing function (VFS): the role of speech and language therapists. 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