C_S_D 4220 Lecture 11: Head and neck cancer and laryngectomy 11
31 May 2016
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Primary symptoms associated with head and neck cancer: sore throat, painful swallowing, referred ear pain, change in voice quality, enlarged neck nodes, early vocal fold cancers: chronic and progressive hoarseness. Staging of head and neck cancers & medical treatment. Stages: supraglottic, glottic, subglottic areas: medical options, chemoradiation, surgery. Postsurgical counseling and management: offering modes of communication following total laryngectomy. Prior to chemotherapy and surgery: slp performs a clinical evaluation of speech, voice and swallowing, patient should be provided with a swallow rehabilitation plan and vocal hygiene protocol to minimize side effects. Important to convey information with patient regarding the extent of the resection and reconstruction as part of patient counseling. Laryngectomy types: total laryngectomy, entire larynx is removed, the hyoid bone is cut from the suprahyoid musculature, thyroid and cricoid cartilages are removed from the pharyngeal muscles and trachea, communication is dependent on alaryngeal speech modes.
