SLP 536 Week 8

Laryngeal dysfunction from tumor or cancer treatment often causes dysphagia - particularly threatening the ____________phase of swallowing, and specifically _________________.

pharyngeal; airway protection

For the purposes of staging, the larynx is divided into what 3 areas?

Supraglottic, glottic, and subglottic

T or F: most malignant laryngeal tumors occur in the subglottic area.

False

Baseline dysphagia from laryngeal cancer most commonly manifests in laryngeal penetration or aspiration resulting from disrupted ________________.

laryngeal-vestibular closure

The primary treatment for laryngeal cancers remains radiotherapy or surgery, with ______________________ added as an adjuvant treatment for advanced-stage disease.

chemotherapy

The supraglottic laryngectomy leaves the _________, the _________, and the _________ as the only protective mechanisms to achieve airway closure for swallowing.

base of the tongue; arytenoids; true vocal folds (TVF)

After the supraglottic laryngectomy, what may happen in the oropharynx?

Post-swallow residue may fall directly into the airway after the swallow because the natural vallecular reservoir is gone and pyriform sinuses are smaller than normal.

T or F: Food and liquid can fall into the laryngeal vestibule more readily when patients have had the supraglottic laryngectomy extended into the base of the tongue.

True

_______________ ability to relearn or train a new swallowing pattern is a key criterion for selection of patients to receive a supraglottic laryngectomy.

Cognitive

The use of ____________________ and/or the ____________________________ can be used to improve the sphincter action for airway protection in anterior extended laryngectomy patients.

laryngeal adduction exercises; super-supraglottic swallow

What swallowing rehab strategies can be used for patients with an arytenoid included in the hemi laryngectomy resection?

laryngeal adduction exercises, chin-down and head-rotated posture.