Clinical Care and Rehabilitation in Head and Neck Cancer

Buch | Hardcover

XXIV, 513 Seiten

2019 | 1st ed. 2019
Springer International Publishing (Verlag)
978-3-030-04701-6 (ISBN)

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Malignancies involving structures of the head and neck frequently impact the most fundamental aspects of human existence, namely, those functions related to voice and speech production, eating, and swallowing. Abnormalities in voice production, and in some instances its complete loss, are common following treatment for laryngeal (voice box) cancer. Similarly, speech, eating, and swallowing may be dramatically disrupted in those where oral structures (e.g., the tongue, jaw, hard palate, pharynx, etc.) are surgically ablated to eliminate the cancer. Consequently, the range and degree of deficits that may be experienced secondary to the treatment of head and neck cancer (HNCa) are often substantial. This need is further reinforced by the Centers for Disease Control and Prevention who have estimated that the number of individuals who will be newly diagnosed with HNCa will now double every 10 years. This estimate becomes even more critical given that an increasing number of those who arenewly diagnosed will be younger and will experience the possibility of long-term survival post-treatment.

Contemporary rehabilitation efforts for those treated for HNCa increasingly demand that clinicians actively consider and address multiple issues. Beyond the obvious concerns specific to any type of cancer (i.e., the desire for curative treatment), clinical efforts that address physical, psychological, communicative, and social consequences secondary to HNCa treatment are essential components of all effective rehabilitation programs. Comprehensive HNCa rehabilitation ultimately seeks to restore multiple areas of functioning in the context of the disabling effects of treatment. In this regard, rehabilitation often focuses on restoration of function while reducing the impact of residual treatment-related deficits on the individual's overall functioning, well-being, quality of life (QOL), and ultimately, optimize survivorship.

Regardless of the treatment method(s) pursued for HNCa (e.g., surgery, radiotherapy, chemoradiation, or combined methods), additional problems beyond those associated with voice, speech, eating and swallowing frequently exist. For example, post-treatment changes in areas such as breathing, maintaining nutrition, limitations in physical capacity because surgical reconstruction such as deficits in shoulder functioning, concerns specific to cosmetic alterations and associated disfigurement, and deficits in body image are common. Those treated for HNCa also may experience significant pain, depression, stigma and subsequent social isolation. Concerns of this type have led clinicians and researchers to describe HNCa as the most emotionally traumatic form of cancer. It is, therefore, essential that clinicians charged with the care and rehabilitation of those treated for HNCa actively seek to identify, acknowledge, and systematically address a range of physical, psychological, social, and communication problems. Efforts that systematically consider this range of post-treatment sequelae are seen as critical to any effort directed toward enhanced rehabilitation outcomes. Actively and purposefully addressing post-treatment challenges may increase the likelihood of both short- and long-term rehabilitation success in this challenging clinical population.

Current information suggests that successful clinical outcomes for those with HNCa are more likely to be realized when highly structured, yet flexible interdisciplinary programs of care are pursued. Yet contemporary educational resources that focus not only on management of voice, speech, eating, and swallowing disorders, but also address issues such as shoulder dysfunction due to neck dissection, the significant potential for cosmetic alterations can offer a much broader perspective on rehabilitation. Contemporary surgical treatment frequently involves reconstruction with extensive procedures that require donor sites that include both soft tissue from a va

Philip C. Doyle, Ph.D., CCC-SLP Voice Production and Perception Laboratory & Laboratory for Well-Being and Quality of Life

Section I: Head and Neck Cancer and Its Treatment.- General Principles of Head and Neck Cancer Treatment.- Surgical Reconstruction for Cancer of the Oral Cavity.- Complications Following Total Laryngectomy.- Human Papilloma Virus: Related Head and Neck Cancer.- Distress as a Consequence of Head and Neck Cancer.- Optimizing Clinical Management of Head and Neck Cancer.- Section II: Treatment Related Changes: Breathing, Voice, Speech, and Swallowing.- Postlaryngecdtomy Respiratory System and Speech Breathing.- Clinical Intervention for Airway Improvement: Establishing a New Nose.- Elements of Clinical Training with the Electrolarynx.- Teaching Esophageal Speech: A Process of Collaborative Instruction.- Voice Restoration with the Tracheoesophageal Voice Prosthesis: The Current State of the Art.- Clinical Problem-Soliving in Tracheoesophageal Puncture Voice Restoration.- Alaryngeal Speech Aerodynamics: Lower and Upper Airway Considerations.- Intelligibility in Postlaryngectomy Speech.- Communication Support Before, During, and After Treatment for Head and Neck Cancer.- Speech Deficits Associated with Oral and Oropharyngeal Carcinomas.- Documenting Voice and Speech Outcomes in Alaryngeal Speakers.- Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer.- Dysphagia Management of Head and Neck Cancer Patients: Oral Cavity and Oropharynx.- Section III: Special Factors in Head and Neck Cancer.- Acute and Long-Term Effects of Chemoradiation Therapy in Head and Neck Cancer.- Oral Considerations for the Head and Neck Cancer Patient.- Lymphedema in Head and Neck Cancer.- Shoulder Dysfunction and Disability Secondary to Treatment for Head and Neck Cancer.- Factors Influencing Adherence to Treatment of Head and Neck Cancer.- The Role of the Clinical Nurse Specialist in Head and Neck Oncology.- The Acquisition of Practice Knowledge in Head and Neck Cancer Rehabilitation.- Well-being and Quality of Life in Head and Neck Cancer.- The Impact of Postlaryngectomy Audiovisual Changes on Verbal Communication.- Communicative Participation after Head and Neck Cancer.

Erscheinungsdatum	27.03.2019
Zusatzinfo	XXIV, 513 p. 97 illus., 78 illus. in color.
Verlagsort	Cham
Sprache	englisch
Maße	178 x 254 mm
Gewicht	1196 g
Themenwelt	Medizin / Pharmazie ► Gesundheitsfachberufe ► Logopädie
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
	Medizin / Pharmazie ► Medizinische Fachgebiete ► HNO-Heilkunde
	Medizin / Pharmazie ► Medizinische Fachgebiete ► Onkologie
	Medizin / Pharmazie ► Physiotherapie / Ergotherapie ► Rehabilitation
Schlagworte	Airway Improvement • Electrolarynx • Esophageal Speech • Head and Neck Surgery • HPV • Lymphedema Therapy • Speech Aerodynamics • surgical oncology • Tracheoesophageal Voice Prosthesis • Voice Restoration
ISBN-10	3-030-04701-6 / 3030047016
ISBN-13	978-3-030-04701-6 / 9783030047016
Zustand	Neuware