SPEECH THERAPY AND REHABILITATION: Edited by H. Fiona RobinsonSwallowing after laryngectomyCoffey, Margaret; Tolley, NeilAuthor Information aImperial College Healthcare Trust, Speech and Language Therapy Charing Cross Hospital bImperial College Healthcare Trust, St Mary's Hospital, London, UK Correspondence to Dr Margaret Coffey, PhD, Imperial College Healthcare Trust, Speech and Language Therapy Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK. E-mail: [email protected] Current Opinion in Otolaryngology & Head and Neck Surgery: June 2015 - Volume 23 - Issue 3 - p 202-208 doi: 10.1097/MOO.0000000000000162 Buy Metrics Abstract Purpose of review This article examines the emergence of dysphagia as an area for rehabilitation postlaryngectomy. The use of dysphagia evaluation tools postlaryngectomy is described and the causes of dysphagia discussed. Recent findings Although the risk of aspiration postlaryngectomy is low, significant symptoms of dysphagia can exist in this patient population. A comprehensive evaluation is the cornerstone for both the identification and management of postlaryngectomy dysphagia. The tool predominantly used to evaluate laryngectomy to date has been videofluoroscopy. The use of this tool in this patient population is described together with fibreoptic endoscopic evaluation of swallowing and manometry. Common causes for dysphagia postlaryngectomy are outlined. Some of the surgical and behavioural interventions used to manage postlaryngectomy dysphagia are discussed. Summary A significant proportion of postlaryngectomy patients can present with dysphagia. Comprehensive swallowing evaluation can illuminate the causes of dysphagia in this patient population and facilitate their management. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.