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
Reading...
Front

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

image

Play button

image

Play button

image

Progress

1/43

Click to flip

43 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Tumors in the larynx may be managed by__ or ___, with ___ as complement
radiotherapy, surgery, chemo
p. 282
__ is most frequent treatment for smaller tumors on vocal cord
Radiotherapy
p. 282
In larger tumors, ___ treatment using ___ or ___ is used
combined treatment, radiotherapy+ surgery, high-dose chemotherapy plus radiation
p. 282
__ of laryngeal tumors occur in glottic area, ___ occur in supraglottic area, and __ occur in subglottic area
60%, 35%, 5%
p. 282
Supraglottic tumor will not spread downward unless ____
located at base of epiglottis
p. 283
Supraglottic tumors occurring at: ___, ___, or ___ are often treated w/ supraglottic/horizontal laryngectomy
epiglottis, aryepiglottic folds, false vocal fold
p. 284
Standard supraglottic laryngectomy removes:
hyoid, epiglottis, aryepiglottic folds, false vocal folds
p. 285
In reconstruction, surgeon usually ___ larynx and ___
elevates, tucks under tongue base
p. 285
The ___maneuver can be used for these patients
super-supraglottic swallow
p. 286
What would the super-supraglottic maneuver do for these patients?
1) serve as exercise for TB and arytenoid contact and 2) swallow maneuver
p. 286
Patients with extended resections may experience ___ and ___
reduced lingual control, bolus control
p. 287
Patients with extended resections may also experience
reduced laryngeal sensation, delayed pharyngeal swallow
p. 287
One selection criterion for supraglottic laryngectomy is__
ability to re-learn swallowing sequence
p. 288
If possible, onset of radiotherapy should be delayed until ___
oral intake is reinstated
p. 288
In a hemilaryngectomy, __ and __ are usually left intact
hyoid, epiglottis
p. 289
Patients w/ hemilaryngectomies should have few problems with post-operative swallowing -- T or F?
T
p. 289
Why?
Because of reconstructed tissue bulk that may help w/ swallowing
p. 290
Patients/ w hemilaryngectomy may experience temporary__
Aspiration during the swallow
p. 290
Which two postures may help with this problem?
Chin down, head rotate
p. 290
IF leson is anteriorly on one vocal fold, hemilaryngectomy must include __
some or all of anterior commissure
p. 290
When arytenoids are removed in hemilaryngectomy, chances of returning to normal swallow are greatly reduced -- T or F?
T
p. 291
Patients w/ their arytenoids removed typically require
adduction exercises, chin-down, head rotation
p. 292
Large lesions (T3 or T4) usually require total laryngectomy or high-dose radiation with or without chemo -- T or F
T
p. 292
Patients w/ total laryngectomy cannot aspirate -- T or F?
T -- total separation of GI and and respiratory tracts!
p. 293
Swallowing problems in total laryngectomy include__ and __
pseudo-epiglottis, tightness of surgical closure
Both pseudo-epiglottis and stricture can result in __
backflow
p. 295
If a total laryngectomy patient has not returned to full pre-op. swallow within __ post-operation, there should be another MBS study of swallow
2 months
p. 295
If patient complains of dysphagia months or years after surgery, they should see a __ because ___
surgeon, disease may recur
p. 295
___ is most successful surgical prosthetic procedure to reconnect esophagus and airflow
TEP (tracheo-esophageal puncture)
p. 295
What does it do?
Prevent backflow from esophagus into trachea
p. 295
The two most successful techniques for rapidly restoring voice to post-operative laryngectomees are __ and __
TEP and Panje procedure
p. 296
TEP is also known as the
Singer-Blom procedure
p. 296
Neurectomy involves
cutting the innervation to pharyngeal wall muscles, rather than muscles themselves
p. 296
Pharyngospasm is
contraction of pharyngeal muscles in response to airflow introduced below it
p. 296
In total laryngectomy, patients increase lingual pressure to compensate for absence of larynx -- T or F?
T
p. 296
Radiotherapy for smaller tumors may result in
temporary hoarseness or roughness, small changes in saliva flow
p. 296
Patients who receive high-dose radiotherapy with or without chemotherapy, may experience___
significantly reduced laryngeal elevation, pharyngeal wall motion
p. 296
THese changes may be due to ___
fibrosis due to damaged blood supply
p. 296
Patients w/ reduced swallowing function due to fibrosis may be helped wth ___
falsetto, Mendelsohn maneuver
p. 297
Patient should begin ROM exercises ___
before or at the beginning of radiotherapy, 5-10 times daily for 10 minutes each time
p. 297
In patient after surgery, exercise can begin when___
suture lines have healed
p. 297
__ and __ will determine patient's functional capacity after surgery
resection, reconstruction
p. 297
Best therapy occurs when__
single set of instructions is given to patient and reinforced by everyone inolved
p. 298