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19 Cards in this Set
- Front
- Back
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GRAFTS
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BONE,SKIN
STSG (SPLIT THICKNESS SKIN GRAFT0 |
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TISSUE FROM INTESTINES
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JEJUNUM->PHARYNX
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TRACHEOTOMY
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NEEDED WHEN ORAL SURGERY DONE
-CHECK SWELLING (PEAKS WITHIN 2-3 DAYS) |
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NECK DISSECTION
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PURPOSE:TO REMOVE LYMPH NODES
RADICAL:LYMPH NODES MUSCLES AND NERVES |
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HEAD & NECK CANCER INVOLVES:
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NASAL CAVITY
THROAT LARYNX (TRACHEA) |
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NSG DIAGNOSIS POST OP
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-INEFFECTIVE AIRWAY CLEARANCE
-NUTRITION -ALTERED TISSUE PERFUSION -RISK FOR BLEEDING |
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SURGERY FOR HEAD & NECK CANCER:
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12-16 HR LONG
-CANCER MUST BE REMOVED -RECALL FCN OF STRUCTURES OF HEAD AND NECK |
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FOR HEAD & NECK CANCER
AGE : SURVIVAL RATE: TYPE OF CARCINOMA: MOST COMMON SITES: |
AGE > 40
1 YR SURVIVAL-82% 5 YR SURVIVAL-54% SCCA-SQUARMOUS CELL CARCINOMA SITES: ORAL AND LARYNX |
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RISK FACTORS:
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SMOKING
ETOH ASBESTOS/RADIATION CHRONIC IRRITATION DEFICIENCY IN VIT A |
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S/S OF HEAD & NECK CANCER
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SORE(BLEEDS EASILY)
LUMP OR THICKENING RED PATCH(ERYTHOPLAKIA) WHITE PATCH(LEUKOPLAKIA) DIFFICULTY CHEWING/SWALLOWING LATER:DIFFICULTY MOVING TONGUE/JAW LARYNX:COUGH/HOARSENESS **GET DENTAL EXAMS** |
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FLAPS
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REMOVAL OF SKIN AND TISSUE FROM AREA OF THE BODY:
-FREE FLAP -MYOCUTANEOUS (MUSCLE AND SKIN) -PECTORALIS MAJOR -BLD SUPPLY |
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DIAGNOSTIC TESTS FOR HEAD & NECK CANCER:
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-PANENDOSCOPY (LARYNGOSCOPY,FLEXIBLE ESOPHAGOSCOPY,BRONCHOSCOPY)
-NASOPHARYNGOSCOPY -PHARYNGOSCOPY -STAGING DONE W/TUMOR NODE METASTASIS -DENTAL ASSESSMENT -PULMONARY FCN -PSYCHOSOCIAL ASSESSMENT -NUTRITION -COMMUNICATION -COGNITIVE MOTOR SKILLS |
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GOALS OF TXT FOR HEAD & NECK CANCER
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-REMOVE PRIMARY DISEASE & METASTATIC LYMPH NODES
-PRESERVE STRUCTURE & FCN -MAXIMIZE COSMETIC & FUNCTIONAL OUTCOME |
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IF RADIATION DONE PRE-OP
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PT DOESNT HEAL AS WELL
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LARYNGECTOMY
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PERMANENT STOMA
-PT CANNOT CHOKE/ASPIRATE ON FOOD -ONLY WAY TO ASPIRATE:INHALING SOMETHING THROUGH STOMA |
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MOST COMMON AND MODIFIED COMPLICATIONS
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-NERVE DAMAGE (FACIAL DROOPING)
-NUMBNESS IN EAR -PROBLEMS WITH CALCIUM |
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INEFFECTIVE AIRLWAY CLEARANCE
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TRACH/STOMA(IS BALLOON UP/DOWN)
1ST-CHECK FOR PATENCY SUCTION INCREASE HOB STOMA/ICC CARE (INTERCANNULA CARE) |
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ALTERD TISSUE PERFUSION
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-NOTHING AROUND THE NECK (PIN TRACH/O2 TO GOWN)
-AVOID PRESSURE ON FLAPS/GRAFTS -325 MG ASA EVERY DAY (TO PREV CLOT) -WARM ROOM -LEECHES |
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ALTERED NUTRITION/IMPAIRED SWALLOWING/ALTERED ORAL MUCOUS MEMBRANES
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-OFTEN MALNOURISHED PRE OP
-SHORT TERM VS LONG TERM PEG-NG FEEDS -ORAL CARE -LOSS OF TASTE,SALIVA -XEROSTOMIA (DRY MOUTH) |
