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35 Cards in this Set

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When surgery is done in oral cavity, malignant tumor must be ____
resected along w/ up to 2 cm margin
p. 252
TNM system stands for
T (tumor size), N (nodal status), and M (presence of metastasis)
p. 253
Post-operatively, oral cancer patients may experience ___, ___, and ___
changes in swallowing, mucositis, reduced salivary flow
p. 263
Swallow disorders in these patients may be caused by ___ or ___
reduced salivary flow, reduced sensation
p. 263
Another problem they experience may be ___ due to ___
Tongue ROM reduction, fibrosis
p. 264
Amount of tongue resected in oral cancer patients is correlated with ___
speech and swallow impairment
p. 264
Primary closure is better for post-operative function than distal flaps -- T or F?
True
p. 264
Patients w/ more than ___ of oral tongue resection may benefit from ___
50%, palatal reshaping prosthesis
p. 264
Cancer in oropharyngeal area often afffects___ and ___
tongue base, pharyngeal wall
p. 265
Intervention for oropharyngeal cancer patients should include___ and ___
exercises, prosthesis
p. 265
SLP post-operative intervention starts when?
Suture lines from surgery have healed (10-14 days after surgery)
p. 265
Which professionals are involved in tumor conference (making decisions on tumor treatment plan)?
Oncologist, tumor surgeon, radiation oncologist
p. 266
Which professionals are involved in rehabilitative counseling?
Social worker, SLP, maxillofacial pro, dietician, nurses, doctors
p. 266
Pre-op counseling includes:
swallowing screening (+ VF assessment?), dental consult, psycho-social assessment
p. 266
It is the patient's responsibility to __
follow exercise program, other rehab strategies
p. 267
When should physical therapy be initiated for oral cancer patients?
When there is radical neck resection
p. 266
WHat 2 pieces of info does swallowing therapist need to have?
nature/extent of resection, nature of reconstruction of oral cavity
p. 269
In patients with small resections and primary closure reconstruction, swallowing problems are often___
temporary
p. 269
Initially, such patients may experience__
pharyngeal delay
p. 269
___ and ___ are good treatment strategies to use w/ many of these patients
thermal-tactile stim, ROM exercises for tongue/bolus control exercises
p. 269
___may be a good posture to manage liquids in patients w/ more severe involvement
Head back
p. 269
in anterior floor of mouth resection, ___ is damaged but __ is normal
oral transit, pharyngeal transit
p. 270
If tongue is sutured down in anterior floor of mouth resection, patient will have problems w ___ and ___
lingual propulsion of bolus, chewing
p. 270
Chewing is impossible in these patients because they cannot ___
lateralize tongue
p. 270
These patients may need to learn ___ or ___
dump and swallow, supraglottic swallow
p. 270
Patients w/ tongue sown in may benefit from___, ___, ___, and ___
tongue ROM movement, position food posteriorly, head back, reshaping prosthesis
p. 273
If floor of mouth muscles are resected, there will be ___ problems because ___
pharyngeal, floor of mouth muscles can't pull up hyoid and larynx
p. 273
In these patients, treatment may include___ and ___
Mendelsohn, falsetto
p. 273
During radiotherapy, cancer patiens may experience ___ and also ___
xerostomia, mucositis
p. 274
___ may also form as result of blood vessel damage in radiated area.
Fibrosis
p. 275
What does fibrosis do?
Change muscle fiber into connective tissue
p. 275
Patients may experience ___ during or after radiation
pharyngeal delay
p. 275
overall, swallowing disorders after radiotherapy may include
pharyngeal delay, reduced pharyngeal wall contraction, reduced laryngeal elevation
p. 275
ROM exercises are often needed in order to ___
prevent fibrosis
p. 275
The patient should be followed for about ___ after therapy was initiated
2-3 months
p. 276