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19 Cards in this Set
- Front
- Back
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Average age of onset?
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63 years old
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Most common causes of laryngeal cancer?
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smoking + alcohol use (leads to stigma of it being the pt.'s fault)
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60-75% or all laryngeal cancers are _________ (where do they occur?) which leads to changes in ___________
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60-75% are glottic and change voice quality
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Symptoms of laryngeal ca?
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Ear pain (referred pain)
hoarse voice/vague sore throat swallowing problems coughing up blood lump in the neck |
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Risk factors for laryngeal CA?
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long exposure to smoke/alcohol, industrial chemicals and solvents, reflux?, HPV/other viruses, genetic predisposition
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Stigmas surrounding laryngeal CA?
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causation seen as pt.'s fault
race, poverty, ca, physical disfigurement, communication, issues related to gender, quality of life |
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How is laryngeal CA diagnosed?
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Examined by ENT. Direct examination of the mass and biopsy (about 3 days for biopsy to be processed)
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staging of laryngeal cancer based on _____ and _________ of tumor
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size + location
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What do the T, N, and M, levels stand for in laryngeal CA staging?
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T = tumor (graded 1-4)
N = node (has it spread to lymph nodes or not?) M - metastasis (the spread or potential to spread) |
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Tx for laryngeal CA?
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combo of radiation/chemo/surgery
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Pt. diagnosed with small laryngeal tumor. Received radiation only. Will this pt need SLP services?
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Yes, radiation therapy may have effects on voice and/or swallowing
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Difference between partial/conservation laryngectomy and Total laryngectomy?
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In a partial laryngectomy 10-90% of larynx is removed
Total = entire larynx from first tracheal ring to hyoid bone |
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Describe a supralottic laryngectomy?
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transverse cut of thryoid cartilage above anterior commisure and resection of tissue from ventricle up to and including the hyoid bone and pre-epiglottic space. May need to reset base of tongue. Swallowing outcomes not good as no TVFs to protect airway
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Draw a supraglottic laryngectomy restruction
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Issues to consider when determining candidacy for use of artificial larynx
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How intact is neck tissue? May need to use an intraoral adapter
How narrow/tight is esophagus? May need an electrolarynx Any hearing impairment in pt/primary comm. partner? will this disease reoccur? Intrinsic mode may be lost (dunno what that means) |
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Advantages/Disadvantages of EL speech
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Easy to operate, can use in a variety of speech environments (telephone + noisy), no special care requirements
mechanical sounding, requires good hand control |
