Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

38 Cards in this Set

  • Front
  • Back
for smaller tumors on the TVF,
radiotherapy is the more frequent treatment choice
cure rates for these small tumors are usually
equal with radiotherapy or surgery
the larynx is divided into ____ areas for staging
3 supraglottis, glottis, subglottis
__ percent of tumors occur in the glottic area
___ percent occur in the supraglottic araea
___ percent in the subglottic area
because of the way in which the lymph system drains in the supraglottic larynx, a tumor of the supraglottic larynx will ______
not spread downward to the true vocal cord and/or subglottic larynx unless the tumor is located at the base of the epiglottis
supraglottic laryngectomy
part or all of the hyoid bone and epiglottis, the aryepiglottic folds, and the false vocal foldes
it leaves the ________, __________, and ______ as athe only protective mechanism
base of tongue, arytenoids, TVF
in reconstruction the surgeon usually
elevates the remaining larynx and tucks it under the tongue base for additional protection during swallow
laryngeal suspention is also affected becuase
the hyoid bone is partially or completely removed
the tongue base has to make complete contact
with the posterior pharyngeal wall because otherwise residue will fall directly into the airway because the patient with a supraglottic laryngectomy has no valleculae and smaller pyriform sinuses than normal
the supraglottic laryngectomy can also be extended
inferiorly to include part of one vocal fold, or oan arytenoid cartelage. the patients change of normal recovery are slim b/c no protection of airway
long term study of supraglottic laryngectomy (normal after how long?)
patients with a dtandard resectionwere able to swallow a normal diet at an average of 1 month after surgery
those patients with an extended supraglottic to include arytenoid spent a min of ____ months and more frequ ______ months attempting rehab
2, 6-12. some could never drink liquids
supraglottic with extension to the tongue base - often took
6 months or more. some never gianed enough tb movement to protect the airway
tongue base and arytenoid range of motion exercisdes have an effect within the first
2-4 weeks. exercises can be contingued
some pateints attain successful airway protection __ months
3-4 months after surgery if they contine to exercise
if possible, the onset of postoperative radiotherapy should be
delayed until oral intake is reinstated
tumors located on the free margin of one VF with only local extension are usually treated with
vertical laryngectomy or hemilaryngeactomy. or an extended hemi
hemilaryngectomy includes
one false VF, one ventricle, and a true vocal fold, usually excluding the arytenoid cartelage as well as the thyroid cart.
in hemi, pateitn experiences few dificulties swallowing because some tissue bulk
is reconstructed on the operated side, against which the unoperated side can attain normal laryngeal closure during swallowing
reconstructed side must be at the same _________
usually, tipping the patients head
forward to push the epiglottis more posteriorly and narrow airway entrance helps
patients need chin down for only
a few weeks postoperatively if they were aspirating
sometimes the hemi has to involve the anterior commisure and patients
wwill rpobably be rehabd within 2-3 weeks but more may need chin down at first
when the arytenoid cart is included in teh resection,
the patient's chances of returning to normal swallowing with no aspiration are greatly decreased.
if aspiration is controlled by reconstructing a narrow glottic chink,
the airway is usually compromised and the functional tradeoff for elimination of aspiration is a perminant trach
large lesions (T3 or T4) involving more than one region of the larynx usually require
total laryngectomy or high dose radiation with or without chemo
with a pseudoepiglottis, the greater the struggle reaction of the patient
the greater the widening of the picket and the more severe the difficulty in swallowing
dilatation of the esophagus scar tissue stricture has to be repeated
often monthly
both a pseudoepiglottis and a ________ can result in
stricture. backflow of food as the patient struggles to swallow
if a total laryngectomy patient has not returned to a full preoperative diet at ________ months postop, ____
2 months, a full radiographic study of oropharyngeal and cervical esophageal aspects of swallow should be completed.
TE puncture
if the puncture site in the TE puncture is too large
the surgeon can cauterize it.
patients who are candidates for the te puncture a __________ for prevention of ___________
myotomy, pharyngospasm
after total laryngectomies, patients do increase
lingual pressures to compensate for the absence of the larynx and reduced pharyngeal wall function postoperatively
ROM exercises should be done
5-10 times daily for 10 min. each time at beginning of radiotherapy or at the beginning