Cases in head and neck cancer : a multidisciplinary approach

305 Pages·2016·41.432 MB·English

by  Henry Ho, Christine M. Sapienza, Bari Hoffman-Ruddy, Jeffrey J. Lehman

Cases in Head and Neck Cancer
A Multidisciplinary Approach

Cases in Head and Neck Cancer
A Multidisciplinary Approach
Bari Hoffman Ruddy, PhD
Henry Ho, MD
Christine Sapienza, PhD
Jeffrey J. Lehman, MD
5521 Ruffin Road
San Diego, CA 92123
e-mail: [email protected]
Website: http://www.pluralpublishing.com
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NOTICE TO THE READER
Care has been taken to confirm the accuracy of the indications, procedures, drug dosages, and diagnosis and remedia-
tion protocols presented in this book and to ensure that they conform to the practices of the general medical and health
services communities. However, the authors, editors, and publisher are not responsible for errors or omissions or for
any consequences from application of the information in this book and make no warranty, expressed or implied, with
respect to the currency, completeness, or accuracy of the contents of the publication. The diagnostic and remediation
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Library of Congress Cataloging-in-Publication Data
Names: Hoffman Ruddy, Bari, editor. | Ho, Henry, editor. | Sapienza,
Christine M., editor. | Lehman, Jeffrey J., editor.
Title: Cases in head and neck cancer : a multidisciplinary approach / [edited
by] Bari Hoffman Ruddy, Henry Ho, Christine Sapienza, Jeffrey J. Lehman.
Description: San Diego, CA : Plural, [2016] | Includes bibliographical
references and index.
Identifiers: LCCN 2015042630| ISBN 9781597567152 (alk. paper) | ISBN
1597567159 (alk. paper)
Subjects: | MESH: Head and Neck Neoplasms — therapy — Case Reports. | Head and
Neck Neoplasms — diagnosis — Case Reports.
Classification: LCC RC280.H4 | NLM WE 707 | DDC 616.99/491 — dc23
LC record available at http://lccn.loc.gov/2015042630
Contents
Preface vii
Acknowledgments viii
Contributors ix
Multimedia List xv
Part I. Demographics and Definitions 1
1
Head and Neck Cancer Demographics and Team Management 3
Bari Hoffman Ruddy, Jeffrey J. Lehman, Nikhil Rao, Christine Sapienza, and Henry Ho
Part II. Oral Cavity Cases 19
2
Lip, Anterior Floor of Mouth, and Mandibular Cancer 21
Jeff Searl, Terance Ted Tsue, and Douglas A. Girod
3
Speech and Swallowing After Hemiglossectomy With Radial Forearm Free Flap 31
Reconstruction
Bernice K. Klaben and Keith Casper
4
Prolonged Dysphagia Following Chemoradiation of the Soft Palate and Tonsillar Fossa 37
Donna S. Lundy, Mario A. Landera, and Zoukaa B. Sargi
Part III. Oropharyngeal Cases 47
5
Overview of Multidisciplinary Management for Oropharyngeal Cancer 49
Katherine A. Hutcheson, Kristen B. Pytynia, and G. Brandon Gunn
6
An Interdisciplinary Approach to the Management of a Patient With Base of Tongue 69
Carcinoma
Vrushali Angadi, Thomas J. Gal, and Joseph C. Stemple
7
Adenoid Cystic Carcinoma of the Base of Tongue 77
Annette H. May and Elizabeth Feldman
8
Minimally Invasive Approach to Treating Cancer of the Base of Tongue 95
Molly A. Knigge and Timothy M. McCulloch
9
Management of SCCA of the Base of Tongue 103
Adam T. Lloyd, Henry Ho, Erin P. Silverman, and Bari Hoffman Ruddy
10
An Interdisciplinary Approach to the Management of HPV-Positive Tonsil Cancer With 111
Chemoradiation Therapy
Angela L. Campanelli, Jennifer R. Reitz, Wendy D. LeBorgne, and Matthew R. Garrett
Part IV. Hypopharyngeal and Supraglottic Cases 121
11
Overview of Multidisciplinary Management for Hypopharyngeal Cancer 123
Paula A. Sullivan, Ilona Schmalfuss, Charles E. Riggs, Jr., William M. Mendenhall,
Elizabeth Leon, and Annette N. Askren; Illustrations by Carl C. Askren
12
Rare Chondrosarcoma of the Supraglottis 137
Jonathon O. Russell, Joseph Scharpf, and Claudio F. Milstein
v
vi Cases in Head and Neck Cancer: A Multidisciplinary Approach
Part V. Laryngeal Cases 143
13
Management of SCCA In Situ in a Professional Performer 145
Adam T. Lloyd, Erin P. Silverman, and Brian C. Spector
14
Management of Recurrent Laryngeal Cancer 153
Jeffrey J. Lehman, Vicki Lewis, Adam T. Lloyd, and Bari Hoffman Ruddy
15
Team Approach in Treating Laryngeal Cancer Resulting in Total Laryngectomy 163
Jennifer Craig, Kyle Mannion, and C. Gaelyn Garrett
16
Eliminating Aspiration Risk Through Total Laryngectomy: A Surgical Approach 175
Requiring Laryngectomy
Linda Stachowiak
Part VI. Less Common Cases 181
17
Management of Nasopharyngeal Carcinoma 183
Jeffrey E. Baylor, Christian E. Soto, and Vicki Lewis
18
Case of Occult Primary Head and Neck SCCA Presented With Lymphadenopathy 195
Nikhil Rao, Vicki Lewis, Henry Ho, Aftab H. Patni, Erin P. Silverman, Lee Zehenbot, and
Bari Hoffman Ruddy
Part VII. Consideration of Communication Options and Patient-Centered Treatment 205
19
Consideration of Communication Options in Head and Neck Cancer: Augmentative 207
and Alternative
Laura J. Ball, Jennifer Kent-Walsh, and Nancy A. Harrington
2 0
Rehabilitation of the Laryngectomized Individual: Alaryngeal Communication Options 219
Bari Hoffman Ruddy, Vicki Lewis, and Christine Sapienza
21
Patient Life Experiences Essential for Humanistic and Quality Care 235
Kathleen Ann Kavanagh
22
Health Literacy Implications for Head and Neck Cancer Patients 239
Kristie Hadden, Richard I. Zraick, and Samuel R. Atcherson
Appendix A. Abbreviations 249
Appendix B. Consulted References for Glossary 253
Glossary 255
Index 271
Preface
In general, head and neck cancer (HNC) accounts als who treat patients with HNC have an obligation
for approximately 3% of new cases of cancer in the to continually improve the quality and effective-
United States with a male-to-female ratio for HNC ness of our care. We are also obliged to explore and
estimated as 4:1. The incidence of patient cases with develop additional, effective, treatment options for
HNC resulting from the use of tobacco products is our patients that can potentially lessen the financial
dropping due to increased societal awareness and and interpersonal burdens imposed by this disease.
antitobacco education. However, the overall inci- There are limited resources that provide a
dence of oropharyngeal HNC is increasing as a con- comprehensive description of complex HNC cases.
sequence of the human papillomavirus (HPV). Therefore, this book was written by experts in oto-
Assessment and treatment of HNC requires laryngology, medical oncology, radiation oncology,
multidisciplinary and integrative care. HNC car- speech pathology, nursing, radiology, and dietetics
ries a considerable burden to patients and families, in order to provide a comprehensive presentation
including costs associated with diagnosis, treat- of the complexity of the patient with HNC. Health
ment, hospitalization, and medications. Aside from literacy, humanistic care approaches, and informa-
costs that are directly attributable to HNC, there is tion pertaining to diagnostic and clinical concerns
a considerable load imposed from secondary con- are presented to help successfully manage patients
ditions such as disordered mechanisms of airway with HNC. The cases cover contemporary practice
protection (cough and swallow). These conditions issues surrounding HPV, robotic or minimally inva-
are nearly ubiquitous among HNC patients at the sive surgery, combined modality treatments, reflux
time of diagnosis and initial treatment, and persist management, and the critical role of the speech
in over half of patients with HNC 5 or more years pathologist are threaded throughout the entire man-
following diagnosis. Taken alone or together, these agement process. Additionally, issues of survivor-
conditions increase the likelihood of lung infection ship and caregiver burden are included. Finally,
and death. A separate financial burden in the form unique intervention protocols are highlighted for
of physician visits, hospitalization for lung infec- airway protection along the continuum of preven-
tion, medications (particularly antibiotics) to treat tion, pre-radiation, and post-radiation.
the lung infection, and alternative modes of nutri- The multimedia component of this book is
tional support (such as tube feeds) for patients with extraordinary, including complete cases with ac-
HNC may occur. Yet, by no means is the suffering companying images (PET, MRI, CT), surgical video,
from HNC and its sequelae merely financial. Can- treatment approaches, and so on. Our intended
cer, in all its forms, can exert devastating psychoso- audience is for graduate education in speech pathol-
cial and psycho-emotional effects on both patients ogy, medical school education, resident education,
and caregivers. For patients with HNC, disorders continuing education for practicing speech-lan-
of airway protection transform eating and drinking, guage pathologists, nurse case managers, dieticians,
activities which are typically as pleasurable as they and any person involved on a head and neck can-
are necessary, into potential sources of embarrass- cer team. The models of team practice demonstrate
ment or rejection. This can lead to depression and the commitment to the ideal treatment of HNC with
isolation, both of which are factors that negatively the ultimate goal of preserving health and patient
impact quality of life (QoL). Health care profession- quality of life.
vii
Acknowledgments
Florida Hospital Cancer Institute is recognized as We are grateful to all of our authors for their
one of America’s Best Hospitals in Cancer Treat- wisdom and time spent creating a volume of work
ment and is accredited as a Comprehensive Cancer that documents their contemporary methods of
Care Center. The authors’ affiliation with the Flor- assessment and treatment of patients with head and
ida Hospital Cancer Institute, the premier nature of neck cancer. With their expert contributions, we are
their care teams, and their whole person–centered one step closer to helping educate the professional
approach motivated the creation of Cases in Head and community on the distinct nature and needs of
Neck Cancer: A Multidisciplinary Approach. Ultimately, patients with head and neck cancer.
we hope our book will guide future clinicians to care
for the patient with head and neck cancer in the most
intelligent and respectful manner.
viii
Contributors
Vrushali Angadi, MS, CCC-SLP Jeffrey E. Baylor, MD, FACS
Clinical Speech-Language Pathologist Ear, Nose, Throat and Plastic Surgery Associates
University of Kentucky Voice and Swallow Clinic Orlando, Florida
PhD Candidate, Rehabilitation Sciences Chapter 17
University of Kentucky
Lexington, Kentucky Angela L. Campanelli, MS, CCC-SLP, BCS-S
Chapter 6 Voice Pathologist
Dysphagia Specialist
Carl C. Askern, MD, FACS Blaine Block Institute for Voice Analysis
Director, Aesthetic Plastic Surgery Pavilion and Rehabilitation
Central California Ear, Nose & Throat Dayton, Ohio
Medical Group Chapter 10
Assistant Clinical Professor
Department of Surgery, Plastic Surgery Section
Keith Casper, MD
University of California, San Francisco
University of Michigan
Fresno, California
Department of Otolaryngology-Head and Neck
Chapter 11
Surgery
Ann Arbor, Michigan
Annette N. Askren, MA, CCC-SLP
Chapter 3
Speech-Language Pathologist
Department of Veterans Affairs
Jennifer Craig, MS, CCC-SLP
Washington, District of Columbia
Assistant in Otolaryngology
Chapter 11
Vanderbilt Voice Center
Vanderbilt University Medical Center
Samuel R. Atcherson, PhD
Nashville, Tennessee
Associate Professor
Chapter 15
Department of Audiology and Speech Pathology
University of Arkansas at Little Rock
Adjunct Clinical Associate Professor Elizabeth Feldman, MS, DMD
Department of Otolaryngology-Head and Neck Maxillofacial Prosthodontics
Surgery Dental Oncology
University of Arkansas for Medical Sciences UF Health Cancer Center
Little Rock, Arkansas Orlando Health
Chapter 22 Orlando, Florida
Chapter 7
Laura J. Ball, PhD, CCC-SLP
Director of Hearing and Speech Research Thomas J. Gal, MD, MPH, FACS
Children’s National Health System Professor
Associate Professor of Pediatrics Division of Head and Neck Surgery
George Washington University University of Kentucky
Washington, District of Columbia Lexington, Kentucky
Chapter 19 Chapter 6
ix