Management of Head and Neck Cancer Patients Postoperatively

presented by Barbara Pisano Messing, PhD, CCC-SLP, BCS-S, FASHA

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Disclosure Statement:

Financial: Barbara Pisano Messing receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Barbara Pisano Messing has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 71 Minutes; Learning Assessment Runtime: 30 Minutes

This course provides an overview of the management of head and neck cancer (HNC) patients postoperatively. A brief discussion on the indications for surgical and nonsurgical treatment will be presented, along with various surgical approaches and reconstruction options based on site and staging. This course is appropriate for speech pathologists, oncology nurses, physical and occupational therapists, otolaryngologists, and medical residents working in any setting. However, this course targets those in graduate training programs, acute care hospitals, cancer centers, and rehabilitation programs/centers.

Meet Your Instructor

Barbara Pisano Messing, PhD, CCC-SLP, BCS-S, FASHA

Barbara Pisano Messing is a practicing speech pathologist with 36 years of clinical and administrative experience. Dr. Messing was the administrative-clinical director of the Milton J. Dance, Jr. Head and Neck Center, Head and Neck Surgery, and Johns Hopkins Voice Center at GBMC in Baltimore, Maryland, for 22 years. She is recognized as a clinical…

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1. Diagnostic Workup: Pulling the Pieces Together

Consideration for management of head and neck cancer consists of reviewing the patient's diagnostic workup and staging. Recommended treatment is based upon NCCN guidelines. This chapter will introduce surgical and nonsurgical considerations for HNC.

2. The Impact of Surgical Management and Reconstruction of HNC Patients

Surgical options for HNC consider cosmesis and functional outcomes as well as long-term survival. Surgical approaches are discussed with a focus on the considerations of surgery vs. nonsurgical treatment, reconstruction options, and postoperative recovery. This chapter will briefly review treatment recommendations and decisions and the impact of surgical and related procedures.

3. Postsurgical Impact of Radiation and Chemotherapy

Postoperative management of HNC involves the multidisciplinary team meeting NCCN guidelines. Dysphagia postoperatively is evaluated and managed by the speech pathologist. The extent of surgery and reconstruction contribute to postoperative healing and recovery. This chapter will review the impact of head and neck surgery and indications for dysphagia in the HNC patient.

4. Dysphagia Treatment During and Post Treatment: Acute/Early Deficits, Long-Term Deficits

Dysphagia during and post treatment is evaluated and managed by the speech pathologist. This chapter reviews functional swallowing problems and treatment in the HNC patient.

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