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).