HNC Laryngectomy

In laryngectomy patients, tongue base pressures interacting with the pharyngeal contraction, must over come the resting pressure of the PES to enter the esophagus secondary to absence of hyolaryngeal dynamics

• True

• False

in patients with questionable airway protection, a voluntary airway protection maneuver is needed before trying this posture

• head rotation/head turn

• head back

• lateral head tilt

• chin down

this posture uses gravity to assist bolus flow down the stronger side of the oral cavity or pharynx to voice the weaker side

• lateral head tilt

• head back

• head rotation/head turn

• chin down

this posture may aide in increasing the opening diameter of the UES

• chin down

• lateral head tilt

• head rotation/head turn

• head back

this posture uses gravity to clear the bolus from the oral cavity in patients with difficulty with oral transit

• head back

• head rotation/head turn

• lateral head tilt

• chin down

which of the following are considered laryngeal range of motion exercises?

• mendelsohn

• effortful swallow

• falsetto voice

• shaker

research supports NMES as an effective means to treat airway protection in HNC patients

• true

• false

increasing bolus volumes can improve swallowing function in HNC patients by increasing sensory input and bolus pressures

• true

• false

the most common problem following laryngeal surgery is the inability to effectively elevate and close the larynx resulting in aspiration

• true

• false

Sounds robotic

• Electrolarynx

• Esophageal speech

• Tracheoesophageal speech