| Other limitations include the inability many times to partake in meals.
Eating with a tracheostomy must be learned after the patient has recovered from surgery, and a speech therapist will work with the patient to teach the proper swallowing techniques. Deflation of the cuff will make swallowing easier, but many patients cannot tolerate deflation. A speaking valve may also aid in swallowing, but many patients are unable to tolerate a speaking valve. Factors that contribute to swallowing dysfunction include difficulty in coordinating breathing with swallowing, muscular atrophy, desensitization and laryngeal damage. There is a risk of aspiration and it may not be possible to have adequate intake for nutritional needs. Mechanical ventilation and the requirement of an inflated cuff result in additional barriers to swallowing. (32) | | | | |
