HNC

Question 1

What are the 2 primary treatment modalities for HNC?

Answer 1

Surgical resection

Radiotherapy w/out chemotherapy

Question 2

What does each letter represent for tumor staging (TNM)?

Answer 2

T- size of tumor (1-4)
N- noduals it has spread (0-3)
M- indicates spreading or metasticizing to other parts of body (0-1)

Question 3

Most common tumor locations in the oral cavity:

Answer 3

anterior floor of mouth
tongue
lateral floor of mouth
tonsil
base of tongue
hard palate
soft palate

Question 4

What do you lose when you have a radical neck dissection?

Answer 4

Submandibular lymph nodes
lymph nodes in neck
sternocleidomastoid
omohyoid
spinal accessory nerve

Question 5

When do you use flap reconstruction?

Answer 5

When sutures aren’t able to close or heal the surgery wound.

Question 6

Side effects of radiation/chemo:

Answer 6

Xerostomia (dry mouth)
Mucositis (ulcers)
Fibrosis (dead tissue)
Odynophagia (pain during swallow)
Trismus (inability to open jaw)

Question 7

What should your first question be when presented with a flap reconstuction patient?

Answer 7

What is their level of sensory awareness?

Question 8

Staging of laryngeal cancer is broken down by:

Answer 8

Supraglottis
Glottis
Subglottis

Question 9

Which type of tumors are less like to spread to the glottis/infraglottis?

Answer 9

Supraglottic

Question 10

Locations of supraglottic tumors:

Answer 10

hyoid bone, epiglottis, AE folds, false VFs