Management of Head and Neck Cancer Patients Postoperatively
Presented by Barbara Pisano Messing
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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
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…
Chapters & learning objectives
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.
