Archives

Changes in Swallowing After Laryngectomy

August 1, 2023 by Ashley Zhinin.
After a total laryngectomy, there is likely no concern for aspiration. However, there are still structural changes that will impact swallowing function that the medical team should consider. Video on how to use this resource: Landera, M. A., Lundy, D. S., & Sullivan, P. A. (2010). Dysphagia after total laryngectomy. Perspectives on Swallowing and Swallowing […]
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Dysphagia Following a Total Laryngectomy: The Effect on Quality of Life, Functioning, and Psychological Well-Being (2009)

August 1, 2023 by Ashley Zhinin.
The authors of this study wanted to see if dysphagia affected people’s QoL, functioning, and psychological well-being after a total laryngectomy. This research study is the first known of this kind to learn from self-reported documentation for total laryngectomies. It is also the first study to examine QoL and psychological well-being measures for people with […]
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The Role of Speech Therapy with Head and Neck Cancer

July 1, 2023 by Ashley Zhinin.
This resource is designed for patients who have received a diagnosis of head and neck cancer and may not be aware of how a speech-language pathologist can help them on their journey. Video on how to use this resource Hutcheson, K. A., Bhayani, M. K., Beadle, B. M., Gold, K. A., Shinn, E. H., Lai, […]
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Dysphagia, voice problems, and pain in head and neck cancer patients (2021)

July 1, 2023 by Ashley Zhinin.
HNC treatment can cause devastating physical and emotional side effects and impact the QoL for people with HNC. The authors of this study wanted to explore the prevalence of dysphagia, voice problems, and pain for a larger group of individuals with HNC. Specifically, they looked at their sociodemographic, behavioral, and clinical factors. In addition, they […]
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Introduction to the Patient with Laryngectomy – What the SLP Should Know

July 5, 2022 by Ashley Zhinin.
This course covers information regarding post-laryngectomy anatomy and physiology including typical vs post-laryngectomy and tracheostomy vs laryngectomy. Gain an overview of techniques for voice restoration after a laryngectomy, including esophageal speech, electrolarynx, and tracheoesophageal voice prosthesis. Post-laryngectomy pulmonary rehabilitation and dysphagia will be reviewed.
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Preventative Swallowing Exercises During Chemoradiotherapy for Head and Neck Cancer

March 1, 2022 by Ashley Zhinin.
This material provides information on the importance of consulting speech therapy prior to chemoradiotherapy (CRT), changes or complications in swallowing function that can be seen following CRT, and the effectiveness of implementing a preventative, high-intensity behavioral intervention by a speech-language pathologist (SLP) to preserve musculature and functional swallowing ability. Carnaby-Mann, G., Crary, M.A., Schmalfuss, I, […]
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Patient Experiences of Swallowing Exercises After Head and Neck Cancer: A Qualitative Study Examining Barriers and Facilitators Using Behavior Change Theory (2017)

January 13, 2022 by txinsights.
The current research suggests about 55% of people had complete non-adherence and 36% had partial adherence for individuals with head and neck cancer. Common reasons patient have given in the past for poor adherence include not having dysphagia at the time of evaluation, poor understanding about the rationale for exercises, the exercises are difficult, being […]
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Pretreatment Swallowing Exercises Improve Swallow Function After Chemoradiation (2008)

January 13, 2022 by txinsights.
Within this retrospective case-control, there were eighteen participants with advanced squamous cell carcinomas of the oropharynx, hypopharynx, and larynx treated with both chemotherapy and radiation therapy. Nine of the patients were included in the pretreatment swallowing exercises group and the other nine were included in the control group and completed swallowing exercises after receiving chemoradiation […]
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The Effect of Exercise Therapy in Head and Neck Cancer Patients in the Treatment of Radiotherapy-Induced Trismus (2015)

January 11, 2022 by txinsights.
Material and methods Search strategy and methods A search with the terms “head and neck cancer,” “exercise therapy” and “trismus” was conducted via PubMed, Embase, the Cochrane Library, and PEDro. PubMed produced 281 results, Embase 255, the Cochrane Library 24, and PEDro 21, making a total of 581 results. Removal of 134 duplicates left 447 […]
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Xerostomia / Dry Mouth

December 26, 2021 by txinsights.
This handout describes the various causes of xerostomia and provides a list of treatment options, including using natural enzymes, adjusting medications, oral rinses and moisturizing products, use of humidifiers, and avoiding dehydrating foods/liquids.
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