Implementing a Bedside Swallowing Rehabilitation Diary for Patients Undergoing Partial Laryngectomy: A Pilot Study

Objective: This study aimed to evaluate the effectiveness of a bedside swallowing rehabilitation diary applied to patients who underwent partial laryngectomy.Methods: A retrospective comparative analysis was conducted between a control group (n=11) and the bedside swallowing rehabilitation diary group (n=19).General characteristics and clinical variables were assessed.Swallowing-related outcomes were evaluated using videofluoroscopic swallowing studies (VFSS) and Penetration-Aspiration Scale (PAS) scores.Results: There were no statistically significant differences between the two groups in terms of age, comorbidities, cancer type, tracheostomy duration, or hospital stay.Follow-up VFSS was performed in only 9 patients (47.3%) of the intervention group.There was no significant difference in PAS scores between the groups.Additionally, no significant differences were observed in clinical outcomes, including percutaneous endoscopic gastrostomy placement and discharge destination.Conclusion: While the bedside swallowing rehabilitation diary demonstrated potential feasibility and a trend toward promoting functional improvement, it did not produce statistically significant clinical benefits.Future studies should establish a long-term, continuous intervention model that extends from admission to post-discharge and include measures to maximize the effects of swallowing rehabilitation by strengthening multidisciplinary collaboration.(