Exam 3 Part 5 Flashcards
What are the modalities of treatment for head/neck cancer?
Surgery, radiation, combination, chemotherapy and radiation therapy, immunological therapy
What can treatment affect?
Ability to eat, speak, breathe, swallow
What are radiation therapy side effects?
Dysphagia, pain while swallowing, diminished taste, loss of appetite, skin irritation, tissue swelling/hardening, decreased salivary flow, dry mouth, lymphedema
Level 1 lymph nodes
Submental
level 6 lymph nodes
Compartmental
What are side effects of chemotherapy?
Nausea, vomiting, fatigue, hair loss, sores in mouth, dermatitis, loss of appetite, dry mouth, weak immunity, bleeding, bruising, allergic reaction, diarrhea, damage to nervous system and internal organs
T/F: Alkylating agents are used for DNA-cleavage to stop the growth of cancerous cells.
True
How long do patients need feeding tubes after surgery?
5-7 days
What types of foods should patients start with after surgery?
Ice chips, liquids, soft foods, when medically appropriate
T/F: Pre-Operative Counseling is usually provided by SLP
True
Removal of the larynx
Laryngectomy
Complete remove of the larynx
Total laryngectomy
What parts of the larynx are removed in a total laryngectomy?
Epiglottis, inferior/superior muscular membranous attachments, hyoid bone, extrinsic strap muscles, upper 2 or 3 tracheal rings
Trachea is redirected and sutured to external neck area just above the notch of the sternum to act as an airway
Stoma
T/F: Stomas create a connection between the trachea and pharynx, nose, and mouth
False; do not
Unit of tissue located beyond the resection site used to reconstruct a surgical defect and are defined based on the pattern of blood supply/location
Flap surgery
What are the advantages of microvascular free flaps?
Improved vascularity and wound healing, potential for sensory/motor innervation, wide variety of available tissue types, tailored to match defect, more efficient use of harvested tissue
T/F: Pectoralis major is the common muscle used in microvascular free flap reconstruction.
False
T/F: Advantages of microvascular free flaps are easily vascularizable, improved sensory and motor innervation, and tailorable.
True
T/F: Medical oncologist diagnose clinical imaging studies
Radiologist
