O8 Laryngectomey, Laryngectomees EXAM 2 Flashcards

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1
Q

What is the difference between “laryngectomy” and “laryngectomee”?

A

Laryngectomy: a surgical procedure

Laryngectomee: a person who has undergone a laryngectomy.

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2
Q

What is the nickname laryngectomy patients often use for themselves?

A

“Lary” or “Larys”

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3
Q

Who performed a laryngectomy on a beagle in the 1820s?

A

Albers

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4
Q

Name the 6 laryngectomy surgeons that Blanton talked about in class.

A
  1. Albers
  2. Patrick Watson
  3. Theodore Billroth
  4. Bottini
  5. Von Langenbeck
  6. Lange
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5
Q

What was the biggest cause of death after surgeries in the 1800s?

A

Infection

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6
Q

When did laryngectomy enter the surgical literature?

A

In 1866 after Patrick Watson wrote about a laryngectomy he performed on a man who had laryngeal deterioration from Syphilis (surgery was unsuccessful)

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7
Q

When did Theordore Billroth remove the larynx of a man who had subglottal cancer (who died a year later)?

A

1873

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8
Q

What did Bottini of Italy do in 1875?

A

Performed surgery on a 24 year old man who had cancer. The patient lived another 5 years!

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9
Q

What did Von Langenbeck develop in 1875 for laryngectomy surgeries?

A

The T-shaped incision, still used today (prior to this, incisions were straight-line)

He had to tie off 41 blood vessels in a patient, and the man lived 4 months post-surgery and then died of cancer.

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10
Q

Who performed the first laryngectomy in North America, and when was it performed?

A

Lange, in 1879

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11
Q

Was laryngectomy well-thought of in 1887?

A

No. 103 had been written about in the literature, and only 9 patients had survived longer than a year. Between 1800 and 1900, half of the patients died on the operating table.

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12
Q

True or false– by 1925, laryngectomy had become an accepted procedure.

A

TRUE

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13
Q

How many successful laryngeal transplants have there been in the world today?

A

Only 2! One of them was at UC Davis.

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14
Q

Define “incidence”

A

How many NEW cases in a given period of time (usually a year)

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15
Q

Define “prevalence”

A

How many people are LIVING WITH the disease within a given period of time

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16
Q

What kind of cancer is most commonly fatal?

A

Lung cancer

17
Q

What is the rough percentage of men and women who will be diagnosed with cancer in their lifetimes?

A

46% of men and 38% of women

18
Q

Laryngeal cancer is less than ____% of all diagnosed cancers in the U.S.

A

2%

19
Q

What is the incidence of laryngeal cancer in the U.S.?

A

12,000 cases a year

20
Q

What is the prevalence of laryngeal cancer in the U.S.?

A

6,000/year (so, roughly HALF of those diagnosed with laryngeal cancer in a year die.)

21
Q

How much more likely are men to receive a laryngectomy than women?

A

4 times more likley

22
Q

What is the average age of diagnosis for laryngeal cancer?

A

63 years old.