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Dysphagia management in tracheostomy patients: introduction of a protocol.Possible comorbidity and the risk of aspiration mean that swallowing rehabilitation in tracheostomy tube patients with dysphagia demands, by comparison with the approach to other patients with deglutition disorders, a well-considered therapy plan. However, the literature provides poor guidance for the role of the speech pathologist and otolaryngologist in the early start of oral feeding and decannulation timing. This paper presents our view of the decision-making procedure in this specific field. Early instrumental evaluation with FEES performed by the otolaryngologist and speech pathologist is a reliable and noninvasive tool that allows for the easy detection of swallowing problems and for the initiation of, and support for, swallowing rehabilitation. We hope to convince clinicians and therapists to consider FEES before starting oral feeding. This interdisciplinary approach may allow us to provide good-quality care and safe outcomes for these patients.