Outcome and follow-up
On hospital discharge (30th July) the patient was fed with a diet without limitations in food consistencies and liquids with compensatory posture (head turned to the right). He took drug therapy orally. SLP gave guidance to perform independently daily exercises at home. PEG was no more necessary but the medical team decided to maintain the gastrostomic access until the Ear, Nose and Throat (ENT) visit scheduled two months after the hospital discharge. On 25th September the patient underwent ENT visit with FEES which showed no more paresis of the right hemilarynx and a full recovery. The ENT specialist allowed the PEG removal. The main steps of the patient’s course are summarised in the timeline (figure 1).