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