Week 13 Quiz

Primary tracheoesophageal puncture (TEP)

• Creation of a fistula in the party wall (tissue separating the trachea and esophagus) during the initial laryngectomy surgery

• A surgical procedure to remove the trachea

• An emergency procedure to clear the airway

• A method to enhance vocal cord function

Symptoms of postradiation

• Fibrosis

• Nausea

• Headaches

• Fatigue

Approximately how many new cases of laryngeal cancer were identified in the US in 2020?

• 50,000

• 65,000

• 75,000

• 80,000

Efficient methods of loading air for esophageal speech

• Consonant injection

• Glossopharyngeal press

• Inhalation

• Vocal fold vibration

Anatomical change due to laryngectomy

• The upper and lower respiratory tracts are separated - the patient does not breathe through the mouth and nose, but through a stoma in the front of the neck

• The vocal cords are permanently damaged, leading to loss of voice

• The trachea is completely removed, requiring a full respiratory system replacement

• The patient develops a chronic cough due to increased mucus production

What is the "sweet spot" for electrolarynx placement?

• Soft tissue of the neck that can vibrate - best placement.

• The area behind the ear where sound is amplified.

• The front of the throat where the voice box is located.

• The upper chest area for better resonance.

TNM staging (what is the acronym)?

• Tumor, Nodal/nodes, Metastasis

• Tumor, Neoplasm, Metastasis

• Tumor, Node, Malignancy

• Tumor, Nerve, Metastasis

Indwelling prosthesis

• Clinician placed prosthesis for tracheoesophageal speech (patient cleans but the clinician replaces)

• Patient placed prosthesis for tracheoesophageal speech (patient cleans and replaces)

• Clinician placed prosthesis for oral speech (patient cleans but the clinician replaces)

• Patient placed prosthesis for oral speech (patient cleans and replaces)

Secondary tracheoesophageal puncture (TEP)

• Creation of a fistula in the party wall during a second surgery after laryngectomy

• A procedure to remove the trachea completely

• An initial surgery to repair the esophagus

• A method to enhance vocal cord function

These 2 approaches are more common for early-stage laryngeal cancer

• Chemotherapy and immunotherapy

• Radiation and surgery

• Targeted therapy and watchful waiting

• Hormone therapy and cryotherapy