Laryngeal Cancer

Laryngeal cancer

men

50-70

A malignant tumor of the larynx

More frequent in ____

___-___ years old

Smoking

Alcohol

Exposure to chemicals

Straining of voice

Chronic Laryngitis

Deficiency of Riboflavin

Risk factors

Supraglottic

Glottic

Infraglottic

Growth can be anywhere in the larynx

1. -

2. -

3. -

Glottic

Most tumors are found in the

Supraglottic

above the vocal cords

Glottic

vocal cord area

Infraglottic

below the vocal cords

Hoarseness for more than 2 weeks

Cough and sore throat

Burning and pain in the throat

Neck lump

Dysphagia, dyspnea, foul breath

Assessment Findings

Indirect and direct laryngoscopy

Biopsy

CT and MRI

Lab findings used

ok

Most commonly- squamos carcinoma

• Radiation Therapy

• Chemotherapy

• Surgery

Medical Management

Partial laryngectomy

Supraglottic laryngectomy

Hemilaryngectomy

Total laryngectomy

Surgeries

ok

NURSING MANAGEMENT

• PRE OP

  • Provide the patient pre-operative teachings

    • Clarify misconceptions

      Tell that the natural voice will be lost

      Teach communication alternatives

      Collaborate with other team members

  • reduce patient ANXIETY

    • Provide opportunities for patient and family members to ask questions

    • Referrals to previous patients with laryngeal cancers and cancer groups

Semi or high fowler’s

Suction secretions

Deep breath and cough

NURSING MANAGEMENT

• POST OP

  • Maintain PATENT Airway

    • Position patient: ________________

    • _____________

    • Encourage _______, turn and __________

Saline

Humidified oxygen

3-6

NURSING MANAGEMENT

• POST OP

  • Administer care of the laryngectomy tube

    • Suction as needed

    • Cleanse the stoma with _____

    • Administer _________

    • Laryngectomy tube is usually removed within ____ weeks after surgery

Call bell/ hand bell

Magic Slate

Hand signals

Collaborate with speech therapist

NURSING INTERVENTIONS

Promote alternative communication methods

10

IVF TPN

NURSING MANAGEMENT

• POST OP

  • Promote adequate Nutrition

    • NPO after operation

    • No foods or drinks per orem for ____ days

    • ______ are alternative nutrition routes

    • Start oral feedings with thick liquids, avoid sweet foods

Patient pre-operative teachings

Reduce anxiety

NURSING MANAGEMENTS

• Preop

Maintain patent airway

Administer care of laryngectomy tube

Promote alternative communication methods

Promote adequate nutrition

Promote positive body image and self-esteem

NURSING MANAGEMENTS

• Post op