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.

Purpose: This study aims to analyze the effects of prophylactic swallowing exercise (PSE) applied to head and neck cancer patients undergoing radiotherapy to utilize the characteristics of the interventions used in the research as a basis for application in clinical practice. Methods: The systematic searches were conducted up to November 15, 2023, from four databases (PubMed, EM base, Cochrane, CINAHL). The included studies were assessed using the Revised Cochrane Risk-of-Bias tool, and we followed the Preferred Reporting Items Systematic Reviews and Meta-Analysis guidelines. Results: Seven randomized controlled trials meeting criteria were identified. These trials applied various interventions. Some studies demonstrated statistical significance in intake status, swallowing function status, videofluoroscopic swallow study and quality of life, but they could not specify the characteristics of the most effective intervention for the participant. Conclusion The prophylactic and individualized swallowing exercises are crucial. Strategies to increase compliance rates should be explored. Additionally, diverse research related to this topic should be conducted.