Function Preservation in Laryngeal Cancer, An Issue of Otolaryngologic Clinics of North America

Babak Sadoughi

Description

Cancers of the larynx, while survival outcomes increase, result in massive treatment damage from radiation and surgery. Patients often lose ability to speak and to eat. Preserving the larynx is a fine balance of cancer eradication, life extension, and quality of life. This issueof Otolaryngologic Clinics led by Dr Babak Sadoughi should be of interest to Otolaryngologists, Oncologists, Radiologists, and Speech Therapists. The issue approach reaches all the most important aspects of diagnosing and treating the patient with laryngeal cancer with a focus on preserving the voice in early laryngeal cancer and preserving and restoring function in advanced laryngeal cancer. Topics include: Functional Anatomy and Oncological Barriers of the Larynx; Evaluation of the Dysphonic Patient; Role of Advanced Laryngeal Imaging in Glottic Cancer; Laryngeal Function after Radiation Therapy; Management of Dysphonia after Radiation Therapy; Contemporary Surgical Management of Early Glottic Cancer; Voice Prognosis after Transoral Laser Microsurgery of the Larynx; Voice Rehabilitation after Transoral Laser Microsurgery of the Larynx; Quality of Life after Conservation Surgery for Laryngeal Cancer; Salvage Conservation Surgery of the Larynx; Airway Preservation in Ablative Laryngeal Surgery; Voice Restoration after Total Laryngectomy. A special article for Residents, written by a Resident, emphasizes essential "take home messages" for laryngeal function preservation diagnosis and treatment.

Sujets

• Medical
• Médecine
• Otolaryngology

Informations

• Publié par: Elsevier
• Date de parution: 12 novembre 2015
• Nombre de lectures: 0
• EAN13: 9780323389013
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Clinics Review Articles Otolaryngologic Clinics of North America
Function Preservation in Laryngeal Cancer

Babak Sadoughi, MD
The Sean Parker Institute for the Voice, Department of Otolaryngology - Head & Neck Surgery, Weill Cornell Medical College, New York, NY, USA
ISSN  0030-6665 Volume 48 • Number 4 • August 2015
Elsevier
Table of Contents
Cover image
Title page
Copyright
CME Accreditation Page
Learning Objectives
Accreditation
Disclosure of Conflicts of Interest
Unapproved/Off-Label Use Disclosure
To Enroll
Method of Participation
CME Inquiries/Special Needs
Contributors
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface: Function Preservation in Laryngeal Cancer
Diagnosing Laryngeal Cancer
Functional Anatomy and Oncologic Barriers of the Larynx
Key points
Introduction
Laryngeal anatomy
Barriers and pathways to tumor spread
Summary
Evaluation of the Dysphonic Patient (in: Function Preservation in Laryngeal Cancer)
Key points
Introduction
History
Office examination
Voice evaluation measures
Patient-based psychosocial impact
Auditory perceptual measures
Acoustic measures
Aerodynamic measures
Diagnostic specimen
Summary
Role of Advanced Laryngeal Imaging in Glottic Cancer
Key points
Introduction
Indirect laryngoscopy
Videostroboscopy
High-speed imaging
Videokymography
Optical coherence tomography
Autofluorescence
Biologic endoscopy techniques
Computed tomography, MRI, PET, and ultrasound
Summary
Preserving Voice in Early Laryngeal Cancer
Laryngeal Function After Radiation Therapy
Key points
Introduction
Definition: what is the function of the larynx?
Physiopathology
Diagnosis of laryngeal dysfunction after radiation therapy
Voice outcomes
Dysphagia outcomes
Strategies for prevention of laryngeal dysfunction
Summary
Management of Dysphonia After Radiation Therapy
Key points
Introduction
Patient evaluation overview
Management goals
Behavioral treatment options
Pharmacologic treatment options
Surgical treatment options
Summary
Contemporary Surgical Management of Early Glottic Cancer
Key points
Introduction
Patient evaluation
Transoral laser microsurgery
Robot-assisted transoral laryngeal surgery
Open surgery
Evaluation of outcome
Summary
Voice Outcomes of Transoral Laser Microsurgery of the Larynx
Key points
Introduction
When to evaluate voice after transoral laser microsurgery
How is voice subjectively after transoral laser microsurgery?
How is voice-related quality of life after transoral laser microsurgery?
What are the objective acoustic results after transoral laser microsurgery?
What are the objective aerodynamic results after transoral laser microsurgery?
What are the factors involved in voice quality after transoral laser microsurgery?
How does voice after transoral laser microsurgery compare with voice after radiation therapy?
Summary
Voice Rehabilitation After Transoral Laser Microsurgery of the Larynx
Key points
Materials and methods
Results
Discussion
Synechiae of the anterior larynx
Summary
Preserving and Restoring Function in Advanced Laryngeal Cancer
Quality of Life After Conservation Surgery for Laryngeal Cancer
Key points
Overview
Relevant problems
The transoral alternative
Clinical outcomes of open partial laryngectomy
Advanced and recurrent laryngeal carcinoma
Summary
Salvage Conservation Laryngeal Surgery After Radiation Therapy Failure
Key points
Introduction
What is conservation laryngeal surgery?
Strategy of conservation laryngeal surgery after radiation therapy failure: when, for which tumors, and why?
Functional rehabilitation after salvage conservation laryngeal surgery for radiation therapy failure
Summary
Transoral and Transcervical Surgical Innovations in the Treatment of Glottic Cancer
Key points
Early glottic cancer
Advanced glottic cancer
Voice Restoration After Total Laryngectomy
Key points
History of voice restoration
Overview of voice restoration
Importance of voice restoration after total laryngectomy
Patient evaluation overview
Esophageal speech
Electrolarynx
Tracheoesophageal puncture
Perioperative considerations
Secondary tracheoesophageal puncture in the operating room
Outcomes/Complications
Summary
Transcervical Conservation Laryngeal Surgery
Key points
Background
Guiding principles and understanding of tumor spread
Vertical partial laryngectomy
Horizontal partial laryngectomy
Supraglottic partial laryngectomy
Supracricoid partial laryngectomy with cricohyoidoepiglottopexy
Supracricoid partial laryngectomy with cricohyoidopexy
Summary
Supplementary data
Index
Copyright
Elsevier
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OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA Volume 48, Number 4
August 2015 ISSN 0030-6665, ISBN-13: 978-0-323-38900-6
Editor: Joanne Husovski
Developmental Editor: Susan Showalter
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