Critical Issues in Head and Neck Oncology

Critical Issues in Head and Neck Oncology
Author: Jan B. Vermorken
Publisher: Springer Nature
Total Pages: 361
Release: 2023-03-27
Genre: Medical
ISBN: 3031231759

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This is an open access book. With a wealth of exciting data emerging in this rapidly evolving field this book will review the state-of-the-art knowledge with emphasis on multidisciplinary decision and management of head and neck cancer. The book provides significant detail on a wide range of topics including: the role of new targets for treatment, immunotherapy, resistance mechanisms, standardizing molecular profiling programs, and new methods to guide therapeutic approaches. In addition different disease situations are addressed including different treatment approaches in primary disease and in recurrent and/or metastatic disease as well as new developments in pathology, surgery and reconstruction techniques, new systemic therapies in salivary gland cancer, and supportive care and follow-up. All disciplines involved in the treatment of head & neck cancer are covered with a focus on translation into daily practice. The 8th-THNO is designed for medical oncologists, head and neck surgeons, radiation oncologists, otolaryngologists, and other medical professionals involved in the treatment of patients with head and neck cancer.

Head and Neck Cancer

Head and Neck Cancer
Author: Christopher E. Fundakowski
Publisher: Springer Nature
Total Pages: 238
Release: 2020-01-28
Genre: Medical
ISBN: 3030278816

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This volume serves to help readers understand and address factors that contribute to the psychological distress and negative self-perception of patients with head and neck cancer to improve their quality of life. It explores many of these issues in depth, such as the trends in diagnosis of head and neck cancer, disfigurement, advances and outcomes associated with minimally invasive surgery, long-term quality of life and functional outcomes, issues related to cancer pain, importance and impact of nutrition, how reconstructive advances effect functional outcomes, the impact of cancer recurrence, and financial consequences of cancer diagnosis and treatment. Head and Neck Cancer: Psychological and Psychosocial Effects will help otolaryngologists, oncologists, surgeons, psychologists and healthcare professionals define the unique issues associated with the HNC patient population, discuss pertinent data, outline key aspects of high quality care in this population, and to draw attention to necessary future investigations and developments.

The Head and Neck Cancer Patient: Perioperative Care and Assessment, An Issue of Oral and Maxillofacial Surgery Clinics of North America E-Book

The Head and Neck Cancer Patient: Perioperative Care and Assessment, An Issue of Oral and Maxillofacial Surgery Clinics of North America E-Book
Author: Zvonimir Milas
Publisher: Elsevier Health Sciences
Total Pages:
Release: 2018-09-27
Genre: Medical
ISBN: 0323641725

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This two part issue of Oral and Maxillofacial Surgery Clinics of North America is devoted to The Head and Neck Cancer Patient. Part I focuses on Perioperative Care and Assessment, and is edited by Drs. Zvonimir Milas and Thomas D. Schellenberger. Articles will include: Epidemiology and demographics of the head and neck cancer population; Speech pathology for the head and neck cancer patient: Speech and swallowing; Nutrition for the head and neck cancer patient; Assessment of the head and neck patient: Imaging and staging; Multidisciplinary tumor board, composition and function; Pre-and postoperative dental assessment and management of the head and neck cancer patient; Head and neck cancer research and support foundations; Physical and occupational therapy; Maxillofacial prosthetics; Psychosocial effects of head and neck cancer; and more!

Comprehensive Management of Head and Neck Cancer

Comprehensive Management of Head and Neck Cancer
Author: Narayana Subramaniam
Publisher: Jaypee Brothers Medical Publishers
Total Pages: 633
Release: 2021-02-22
Genre: Medical
ISBN: 8194709040

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This book is a complete guide to the management of head and neck cancer. Divided into five sections, the text begins with discussion on pre-treatment assessment and evaluation. Section two covers management of numerous different head and neck cancers, from oral and larynx, to temporal bone, saliva gland, thyroid, and many more. A complete chapter is dedicated to robotic surgery. The following sections detail management of tumour-like lesions, reconstructive surgery, and post-treatment care and rehabilitation. Authored by recognised experts in the field, the comprehensive text is further enhanced by clinical images and figures. Key points Comprehensive guide to management of head and neck cancer Complete chapter dedicated to robotic surgery Discusses reconstructive surgery and post-treatment care Includes images and figures to enhance text

Impact of Pain and Evaluation of Education and Self-Care in Patients with Head and Neck Cancer

Impact of Pain and Evaluation of Education and Self-Care in Patients with Head and Neck Cancer
Author: Anne Söderlund Schaller
Publisher: Linköping University Electronic Press
Total Pages: 102
Release: 2018-04-13
Genre:
ISBN: 9176853314

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It is not unusual for patients with head and neck cancer (HNC) to suffer from both tumor and treatment-related pain that is difficult to alleviate despite individualized pharmacological treatment. The presence of concomitant various dimensions of pain in patients during the often difficult period following radiotherapy (RT) has not been elucidated. Several aspects concerning the importance of relatives for HNC patients have been addressed. However, little attention has been given to how relatives perceive patients with HNC pain and it is important to further elucidate this sparsely studied topic. Knowledge about health-related quality of life (HR-QoL) in this patient group during early RT is limited and needs to be assessed in relation to diagnosis and treatment. Self-care (SC) refers to what patients do on their own to achieve, maintain, and promote optimal health and may help reduce pain for several pain conditions. The impact of patient education and SC on pain and other common HNC symptoms need further clarification. The aims of this thesis were: to describe experiences and perceptions of pain in patients with HNC shortly after RTto describe how relatives perceived the patient’s situation, especially concerning pain, and how they experienced their own situationto identify factors that impact HR-QoL during early RTto develop effective pain management strategies, maintain activities of daily living, and promote HR-QoL in patients with HNC undergoing RT using patient education and SC instruction. In paper I patients with HNC described existential pain – expressed as fear of death, meaninglessness and guilt – already during and shortly after RT. Physical pain, psychological distress and social withdrawal played a significant role. Patients with HNC who were treated with RT should also proactively be offered treatment for the various dimensions of pain. In paper II relatives described their mental stress in response to a challenging situation that required their active support to help ease the patient's difficult condition. The interviews with relatives also revealed a lack of personal knowledge and frustration over the inability to participate in patient care, as well as inadequate support from the healthcare system. Early interventions from the healthcare system on behalf of the relatives may be necessary to meet these needs. In Paper III regression models revealed that pain intensity and symptoms of depression adversely affected HR-QoL in patients with HNC during early RT. Customized prehabilitation programs aimed at preventing pain and symptoms of depression could help preserve good HR-QoL. Paper IV assessed individual patient education and SC initiatives that resulted in a tendency for lower pain intensity during a portion of RT. One way to potentially enhance the benefits of education and SC could be to improve for example patient motivation and self-efficacy, as well as to optimize supportive efforts from caregivers. In conclusion, by identifying factors that can impact HR-QoL and evaluating the effect of patient education and SC, this thesis contributes to knowledge on perceived pain and the patient’s situation during and shortly after RT in patients with HNC and their relatives. This thesis points to the need for evaluation and further development of patient education and effective SC strategies for pain in patients with HNC undergoing RT, as well as for development and evaluation of support strategies for patients with pain and their families during and after RT.

Quality Indicators in Head and Neck Oncology

Quality Indicators in Head and Neck Oncology
Author: Martinus Ridder
Publisher:
Total Pages: 187
Release: 2017
Genre:
ISBN:

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This thesis shows the complexity and multidimensional concept of quality of care in head and neck cancer. The selected topics represent examples of quality assessment using structure [centralization (Chapter 2) and variation of care (Chapter 3)], process [waiting time (Chapter 4) and pathologic specimen handling (Chapter 5, 6)] and outcome indicators [influence of volume and variation of care on outcome (Chapter 3) and specific outcome of rare head and neck tumors arising in the salivary gland (Chapter 7, 8)]. Head and neck cancer care in the Netherlands is centralized in specific head and neck cancer centers, but nonetheless the care given varied per head and neck center. We showed that volume may play a role in this variation, but several other quality related aspects of head and neck cancer care are of influence as well. For instance: waiting time differences, as we showed that waiting time has significant influence on outcome. What we also showed is that pathology specimen handling is another key factor, and that non-standardized workflow leads to differences and non-uniformity. For the more rare types of head and neck cancer, like salivary gland tumors, the low volume in the Netherlands makes quality assurance almost impossible. For proper quality assessment and thereby quality assurance, based upon this thesis, redistribution of rare head and neck cancers appears inevitable. The variation in numbers and treatment we found could have been biased by case-mix factors we did not include. The relatively small sample size of our study population limited us regarding some statistics.

Functional Preservation and Quality of Life in Head and Neck Radiotherapy

Functional Preservation and Quality of Life in Head and Neck Radiotherapy
Author: Paul M. Harari
Publisher: Springer Science & Business Media
Total Pages: 323
Release: 2009-06-12
Genre: Medical
ISBN: 3540732322

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The emphasis on cancer management in the past was based primarily on control rates from multidisciplinary input in management. There has always been a recognition that one would like to achieve the best result with the least complication, but never has there been any major emphasis on evidence-based outcome studies, nor on functional preservation and quality of life. The authors of this book have dealt very effectively with the various tumor types in head and neck cancer with the experts in the ? eld of management. The contents range from epidemiology and treatment outcome, treatment techniques with the potential impact on the quality of life such as dysphagia, to the various options relative to high technology radiation therapy programs for mana- ment. The potential for improving form and function through surgical care as an integrated part of the program is dealt with very effectively as well as the potentials for chemotherapy and the use of targeted agents have on quality of life issues. The volume also addresses toxicity, quality of life, and techniques for prevention of adverse effects, as well as the potentials for rehabilitation and supportive care. The authors have clearly done an extraordinarily good job in addressing the mul- plicity of problems that impact upon the functional preservation and quality of life in head and neck radiation therapy. Philadelphia Luther W.

Head and Neck Cancers

Head and Neck Cancers
Author: Athanassios Argiris, MD, FACP
Publisher: Springer Publishing Company
Total Pages: 553
Release: 2018-06-28
Genre: Medical
ISBN: 0826137784

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“Overall, this is an excellent book on an important topic in cancer that medical oncologists, pharmacologists, and nurses, as well as related healthcare professionals, may find very helpful.” Score: 100, 5 Stars, Doody’s Medical Reviews Head and Neck Cancers: Evidence-Based Treatment presents a practical, state-of-the-art resource for any clinical oncologist treating or managing patients with head and neck cancers, including oropharyngeal cancer, cancer of the oral cavity, laryngeal cancer, nasopharyngeal cancer, hypopharyngeal cancer, cancer of the sinuses and the skull base, salivary gland cancer, and neck lymphadenopathy. Section 1 of the book covers the most pertinent details on the epidemiology, biology, diagnosis and staging of the disease including topics such as the genomic landscape of squamous cell carcinoma of the head and neck and novel imaging modalities. Section 2 discusses the evidence-based treatment modalities for conventional and novel chemotherapy regimens, the evidence behind emerging radiation therapy techniques and the minimally invasive surgical advances changing the landscape of care. The chapters in Section 3 are dedicated to site-specific management, including management guidelines, tables with FDA-approved therapies and relevant ongoing clinical trials as well as instructive clinical cases with important discussion on outcomes and follow up care. Finally, Section 4 focuses on recurrent and metastatic disease and Section 5 provides the essentials on supportive care, including managing the elderly, managing patients suffering from dysphagia and oral complications, and must-know details of quality of life assessment and patient-reported outcomes. Emphasizing the practice-changing techniques and the latest evidence-based treatment advances including targeted therapies, immunotherapy, transoral robotic surgery, and radiation therapy precision, this comprehensive yet accessible textbook is indispensable for any clinical oncologist of each discipline wanting a balanced and evidence-based reference on managing patients with head and neck malignancies. Key Features: Includes didactic clinical cases for each type of head and neck cancer Numerous tables highlight FDA approved therapies and ongoing clinical trials Provides evidence-based recommendations for treating head and neck cancers at each stage of the disease with conventional and novel treatment strategies Covers strategies for managing acute and late complications to treatment

Head and Neck Malignancy: Highlights of Clinical Presentation, Assessment and Treatment

Head and Neck Malignancy: Highlights of Clinical Presentation, Assessment and Treatment
Author: Norhafiza Mat Lazim, Zul Izhar Mohd Ismail, Baharudin Abdullah
Publisher: Penerbit USM
Total Pages: 597
Release: 2023-11-21
Genre: Medical
ISBN: 9674618120

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Head and neck cancer is on the rise, affecting the adult and paediatric patients. Its treatment is challenging and is governed by numerous factors, especially tumour biology, patient demographic and availability of efficient treatment regimes. The prognosis of head and neck cancer is dismal despite multimodality treatment. This is largely due to late presentation of the disease, as well as poor compliance to treatment and suboptimal treatment approaches. The prognosis and survival rate of head and neck cancer patients can be enhanced with a thorough understanding of the disease, effective communication between in charge clinician, collaborative effort of multiple expertise involving in the management of case, and a refined treatment plan and implementation. Of note, early screening and effective preventive measures will lessen the head and neck tumour burden worldwide. The identification of critical risk factors such as the oncogenic viruses (HPV, EBV), environmental and chemical carcinogen, and dietary factor allow identification of at-risk population, hence early intervention can be instituted. Many of head and neck cancer involves with critical function of human life such as swallowing, breathing, speech, olfaction, hearing and vision. Thus, surgical treatment of this tumour can result in significant sequalae that can impair patients’ quality of life. Imperatively postoperative chemoradiation can further exacerbate the complications with resultant fibrosis, polyneuropathy, fatigue, and many more. Escalation of therapeutic approaches and multiteam management is crucial for the betterment of head and neck cancer patients’ care.