About The Book

Cases in Head and Neck Cancer: A Multidisciplinary Approach encompasses rich material and resources that demonstrate the complex interface between the diagnostic and clinical information necessary to successfully manage patients with head and neck cancer. This must-read book contains cases written by leading experts in the field that cover a wide variety of head and neck cancers (i.e., tongue base, tonsil, laryngeal, HPV related, etc.) and treatment options, including minimally invasive surgery such as robotic surgery and combined modality treatment protocols. Specifically, this text addresses comprehensive cases from initial evaluation, diagnosis, imaging, and other physiological tests to multidisciplinary treatment management (surgery, chemotherapy, and radiation therapy). Additionally, approaches for the management of toxicities or morbidities of cancer treatment are presented, as well as care plans, discharge plans, and caregiver burden and survivorship issues. Moreover, material on health literacy, humanistic care, and improving communication with assistive technology has been included.

Written by clinicians specializing in speech-language pathology, otolaryngology, medical and radiation oncology, pathology, nurse case management, radiology, dietics, among other fields, this collection of authors provides one of the most complete presentations of the inner workings of the multidisciplinary care team.

The adult cases of head and neck cancer reviewed in this text exemplify current practice issues surrounding HPV, minimally invasive robotic surgery and combined modality treatments. Each author threads introductory comments throughout the cases illustrating the critical role of the speech-language pathologist, in particular, and how all clinicians must address coping with survivorship and caregiver burden issues.

Cases in Head and Neck Cancer intends to teach future medical practitioners how to approach the complexities associated with head and neck cancer. Its vast number of images and videos included on a PluralPlus companion website allow for experiential driven classroom activities. This text will be an invaluable resource for the education of speech-language pathologists, medical students, nurse care managers, dieticians, and any person involved in a head and neck cancer team.

About The Authors

Bari Hoffman, PhD, CCC-SLP, is an Associate Dean in the College of Health Professions and Sciences, Professor in the Department of Communication Sciences and Disorders, with a joint appointment in Internal Medicine within the College of Medicine at the University of Central Florida. Dr. Hoffman serves as Director of the Center for Voice Care and Swallowing Disorders at the Ear Nose Throat and Plastic Surgery Associates. She has worked clinically in this setting for more than 20 years treating individuals with voice and upper airway disorders specializing in pediatric, professional, and neurogenic populations, along with individuals undergoing treatment for head and neck cancer. Dr. Hoffman received her doctoral degree from the University of Florida in 2001. Her current research involves studying novel treatment technologies and biomechanical mechanisms for disorders of laryngeal function, while defining the high impact on quality of life factors. She implements 3-D computer modeling of upper and lower airway function, coping strategies of individuals with dysphonia, and respiratory muscle strength paradigms in a variety of patient groups. Dr. Hoffman has a significant record of peer-reviewed publications, authorship of two other textbooks: Cases in head and Neck Cancer: A Multidisciplinary Approach and Respiratory Muscle Training. She actively lectures across the country and internationally on these topics. In recognition of her contributions to teaching, research, and service, she has received numerous awards within her university, state, and national associations.

Henry Ho, MD, FACS, is director, Head and Neck Program, The Florida Hospital Cancer Institute; president, The Ear, Nose, Throat and Plastic Associates, P.A.; associate professor of surgery, Florida State University College of Medicine; and associate professor of otolaryngology, University of Central Florida College of Medicine. Dr. Ho completed his bachelor’s degree, doctor of medicine, and residency in otolaryngology and head and neck fellowship at the University of Michigan in Ann Arbor. He began his medical practice in Winter Park and Orlando, Florida, in 1985, where he has remained ever since. His practice has grown since then from a four physician, single-specialty practice, to a twelve physician and five physician assistant practice with more than 100 employees. It has grown with Central Florida to become the tertiary referral resource in otolaryngology, covering the largest hospital system in Florida with more than 1,200 inpatient beds. With growth, his practice has embraced subspecialization and now Dr. Ho’s practice is 80% focused on head and neck cancer. Always seeking to improve patient care, Dr. Ho, with Dr. Lehman, performed the first transoral robotic surgery for oropharngeal cancer in Central Florida in 2010. He continues to enjoy head and neck surgery and the teaching of medical students and residents.

Christine Sapienza, PhD, CCC-SLP, serves as Provost of Jacksonville University. Previously, Dr. Sapienza was a longstanding tenured professor and chair of the Department of Communication Sciences and Disorders at the University of Florida, as well as a research career scientist at the Brain Rehabilitation Research Center at the Malcom Randall Veterans Administration Hospital. As a principal investigator of National Institutes of Health grants, VA Research Rehabilitation Research and Development Awards, and a M.J. Fox Foundation grant, Dr. Sapienza has provided extensive mentoring to 16 doctoral students, all of whom have contributed back to academics and clinical service. She has built a strong national and international reputation for expertise in the design and implementation of larger scale randomized clinical trials examining treatments as well as the careful reporting of peer-reviewed outcomes from these studies. Dr. Sapienza methodically disseminates this information to the scientific community at large in the form of invited presentations, workshops, and clinical teaching platforms. Through writing, she works to integrate research findings in journal articles, textbooks, and clinical manuals. As a frequent contributor to patient support groups she aspires to assist patients and caregivers as they navigate available treatments and emerging science. 

Jeffrey J. Lehman, MD, FACS, is the medical staff president for Florida Hospital, an eight campus system that covers the Orlando metro area and has more than 2,500 physicians on staff. In addition to serving in medical staff leadership, Dr. Lehman is medical director of Center for Voice Care and Swallowing Disorders at the Ear Nose Throat and Plastic Surgery Associates, Orlando, Florida, which he founded in 1989. He completed medical school and residency at the University of Wisconsin, and trained in laryngology under Diane Bless, PhD, and Charles Ford, MD. In association with Dr. Hoffman Ruddy, Dr. Lehman provides clinical training to speech pathology students interested in voice and swallow, and is a clinical professor in the Department of Communication Sciences and Disorders at the University of Central Florida. He is also a clinical professor in the College of Medicine at the University of Central Florida and at Florida State University, and teaches medical students and residents interested in otolaryngology. He is an active participant in clinical research, and was recently recognized with the Distinguished Service Award by the Florida Association of Speech-Language Pathologists and Audiologists.

Table Of Contents

Multimedia List

Part I. Demographics and Definitions

Chapter 1. Head and Neck Cancer Demographics and Team Management
Bari Hoffman Ruddy, Jeffrey L. Lehman, Nikhil Rao, Christine Sapienza, and Henry Ho

Part II. Oral Cavity Cases

Chapter 2. Lip, Anterior Floor of Mouth, and Mandibular Cancer
Jeff Searl, Terance Ted Tsue, and Douglas A. Girod

Chapter 3. Speech and Swallowing after Hemiglossectomy With Radial Forearm Free Flap Reconstruction
Bernice K. Klaben and Keith Casper

Chapter 4. Prolonged Dysphagia Following Chemoradiation of the Soft Palate and Tonsillar Fossa
Donna S. Lundy, Mario A. Landera, and Zoukaa B. Sargi

Part III. Oropharyngeal Cases

Chapter 5. Overview of Multidisciplinary Management for Oropahryngeal Cancer
Katherine A. Hutcheson, Kristen B. Pytynia, and G. Brandon Gunn

Chapter 6. An Interdisciplinary Approach to the Management of a Patient With Base of Tongue Carcinoma
Vrushali Angadi, Thomas J. Gal, and Joseph C. Stemple

Chapter 7. Adenoid Cystic Carcinoma of the Base of Tongue
Annette H. May and Elizabeth Feldman

Chapter 8. Minimally Invasive Approach to Treating Cancer of the Base of Tongue
Molly A. Knigge and Timothy M. McCulloch

Chapter 9. Management of SCCA of the Base of Tongue
Adam T. Lloyd, Henry Ho, Erin P. Silverman, and Bari Hoffman Ruddy

Chapter 10. An Interdisciplinary Approach to the Management of HPV-Positive Tonsil Cancer With Chemoradiation Therapy
Angela L. Campanelli, Jennifer R. Reitz, Wendy D. LeBorgne, and Matthew R. Garrett

Part IV. Hypopharyngeal and Supraglottic Cases

Chapter 11. Overview of Multidisciplinary Management for Hypopharyngeal Cancer
Paula A. Sullivan, Ilona Schmalfuss, Charles E. Riggs, Jr., William M. Mendenhall, Elizabeth Leon, and Annette N. Askren; Illustrations by Carl C. Askren

Chapter 12. Rare Chondrosarcoma of the Supraglottis
Jonathon O. Russell, Joseph Scharpf, and Claudio F. Milstein

Part V. Laryngeal Cases

Chapter 13. Management of SCCA In Situ in a Professional Performer
Adam T. Lloyd, Erin P. Silverman, and Brian C. Spector

Chapter 14. Management of Recurrent Laryngeal Cancer
Jeffrey J. Lehman, Vicki Lewis, Adam T. Lloyd, and Bari Hoffman Ruddy

Chapter 15. Team Approach in Treating Laryngeal Cancer Resulting in Total Laryngectomy
Jennifer Craig, Kyle Mannion, and C. Gaelyn Garrett

Chapter 16. Eliminating Aspiration Risk Through Total Laryngectomy: A Surgical Approach Requiring Laryngectomy
Linda Stachowiak

Part VI. Less Common Cases

Chapter 17. Management of Nasopharyngeal Carcinoma
Jeffrey E. Baylor, Christian E. Soto, and Vicki Lewis

Chapter 18. Case of Occult Primary Head and Neck SCCA Presented With Lymphadenopathy
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

Chapter 19. Consideration of Communication Options in Head and Neck Cancer: Augmentative and Alternative
Laura J. Ball, Jennifer Kent-Walsh, and Nancy A. Harrington

Chapter 20. Rehabilitation of the Laryngectomized Individual: Alaryngeal Communication Options
Bari Hoffman Ruddy, Vicki Lewis, and Christine Sapienza

Chapter 21. Patient Life Experiences Essential for Humanistic and Quality Care
Kathleen Ann Kavanagh

Chapter 22. Health Literacy Implications for Head and Neck Cancer Patients
Kristie Hadden, Richard I. Zraick, and Samuel R. Atcherson

Appendix A. Abbreviations
Appendix B. Consulted References for Glossary


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