Head & neck cancer

Author(s):  
Thankamma Ajithkumar ◽  
Ann Barrett ◽  
Helen Hatcher ◽  
Natalie Cook

The head and neck region encompasses anatomical sites below the brain and above the clavicles, excluding skin and thyroid. The sites most commonly involved with cancer are the oral cavity, larynx, and pharynx. Overall 5-year survival rates for head and neck cancer have improved only slightly over the past two decades remaining at just over 50%. This figure in part reflects the population who present with this disease in terms of age and comorbidity (typically about 15% intercurrent death rates at 5 years), as well as the tendency to develop second primaries and metastases. The poor long-term survival rates may also reflect the fact that 60% of patients with head and neck cancer have advanced disease at the time of presentation (stage III/IV disease). The dominant treatment failure in head and neck cancer is locoregional relapse and this remains the main focus for clinicians involved in the management of these patients....

2018 ◽  
Vol 43 (3) ◽  
pp. 795-804 ◽  
Author(s):  
C.M. Douglas ◽  
K. Ingarfield ◽  
A.D. McMahon ◽  
S.A. Savage ◽  
D.I. Conway ◽  
...  

2013 ◽  
Vol 106 ◽  
pp. S27-S28
Author(s):  
F. Duprez ◽  
I. Madani ◽  
D. Berwouts ◽  
K. Bonte ◽  
T. Boterberg ◽  
...  

2019 ◽  
Vol 129 (11) ◽  
pp. 2506-2513 ◽  
Author(s):  
Eugenie Du ◽  
Angela L. Mazul ◽  
Doug Farquhar ◽  
Paul Brennan ◽  
Devasena Anantharaman ◽  
...  

2008 ◽  
Vol 3 ◽  
pp. 105
Author(s):  
N. Buijs ◽  
M.A.E. van Bokhorst-de van der Schueren ◽  
J.A.E. Langius ◽  
C.R. Leemans ◽  
M.A.R. Vermeulen ◽  
...  

Author(s):  
Irene Loewen ◽  
Caroline C. Jeffery ◽  
Jana Rieger ◽  
Gabriela Constantinescu

Abstract Background Dysphagia is one consequence of head and neck cancer that has a significant impact on quality of life for head and neck cancer survivors. While survival rates continue to improve, focus has shifted to maximizing long-term function, with prevention or prehabilitation programs becoming more common. Prehabilitation programs typically include an exercise regime that specifies the exercise type, the number of repetitions to complete per set, the number of sets of each exercise to complete per day, as well as the length of the treatment block. Ideally, exercise programs are designed with principles of neuromuscular plasticity in mind. Methods Twenty-nine original research articles published between 2006 and 2020 were included in this state-of-the-art review and examined for program timing and details. Results Two definitions for prehabilitation were noted: one third of the studies defined prehabilitation as preventative exercises prior to the start of acute cancer treatment; the remaining two thirds defined prehabilitation as treatment concurrent prehabilitation. Exercises prescribed ranged from general stretching and range of motion exercises, to trismus and swallowing specific exercises. The most common swallowing specific exercise was the Mendelsohn’s maneuver, followed by the effortful swallow, Shaker, and Masako maneuver. The most common dose was 10 repetitions of an exercise, three times per day for the duration of radiation therapy. The most common measures were questionnaires, followed by g-tube dependence, mouth opening, and MBS reports. Conclusion This review of the literature has shed light on the variability of prehabilitation timing, exercise type, dose, duration of treatment, and outcomes associated with prehabilitation, making the selection of an optimal prehabilitation program difficult at this time.


2015 ◽  
Vol 33 (29) ◽  
pp. 3322-3327 ◽  
Author(s):  
Jolie Ringash

Head and neck cancer is becoming more common, and survival rates are improving. Human papillomavirus–associated oropharyngeal cancer, in particular, is increasing in incidence and is associated with an excellent prognosis. However, toxicity from disease and treatment leads to long-term impairment, disability, and handicap. Currently, more than 60% of survivors have unmet needs. As the numbers of survivors increase, current models of care will be increasingly inadequate to meet their needs. Exploration of new strategies and models of care to better address quality-of-life issues and meet the needs of survivors of head and neck cancer is urgently required.


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