SPEECH THERAPY AND REHABILITATION: Edited by H. Fiona Robinson and Jo PattersonEnhanced recovery after head and neck cancer surgery: a review of current literatureWatson, Laura-Jaynea; Ewers, CarolinebAuthor Information aSouth Tyneside & Sunderland NHS Foundation Trust, University of Newcastle, Newcastle bSouth Tyneside & Sunderland NHS Foundation Trust, Sheffield Hallam University, Sheffield, UK Correspondence to Laura-Jayne Watson, Speech & Language Therapy Department, Sunderland Royal Hospital, Sunderland SR4 7TP, UK. Tel: +44 0191 569 9009; e-mail: email@example.com Current Opinion in Otolaryngology & Head and Neck Surgery: June 2020 - Volume 28 - Issue 3 - p 161-164 doi: 10.1097/MOO.0000000000000621 Buy Metrics Abstract Purpose of review Enhanced recovery after surgery (ERAS) is well documented in a number of surgical specialities. However, it remains an emerging concept in surgical head and neck cancer care. The purpose of this review is to appraise the current evidence investigating enhanced recovery in head and neck cancer, and explore areas for future clinical research. Recent findings There were three key themes in enhanced recovery from the current head and neck cancer literature: early oral feeding, fistula closure and service delivery. This evidence is emerging and the quality of papers remains variable which makes it difficult to draw robust clinical recommendations. However, there are some encouraging clinical findings with regards to early oral feeding protocols and suturing of the trachea-stoma. Summary There is limited literature in enhanced recovery in head and neck cancer, with questionable quality of the papers reviewed. As such, there is no consensus for a standardized enhanced recovery pathway which demonstrates effective service delivery and positive patient outcomes. It is clear that implementation of enhanced recovery pathways is complex and requires patient and clinician buy in. Future research should focus on co-design of a methodologically sound enhanced recovery pathway with evaluation of its implementation. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.