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Author: Stefano Ursino Publisher: ISBN: Category : Electronic books Languages : en Pages : 0
Book Description
In Western countries, head and neck cancers (HNCs) account for about 5% of all tumors. Due to tumor locations at the aero-digestive crossroad, patients frequently suffer from swallowing dysfunction caused both by primary cancer (baseline dysphagia) and cancer therapies (treatment-related dysphagia). In this regard, radiation-induced dysphagia represents a real ,ÄúAchille,Äôs heel,Äù which historically occurs in more than 50% of patients and can lead to a malnutritional status and an increased risk of aspiration pneumonia. In fact radiotherapy, by restricting the driving pressure of the bolus through the pharynx and/or limiting the opening of the cricopharyngeal muscle, leads to a post-swallowing pharyngeal residue that may spill into the airway causing ab ingestis pneumonia. On the contrary, an organ preservation strategy should provide both the highest tumor control probability (TCP) and the minimum function impairment with the subsequent maximum therapeutic index gain. In this regard, intensity-modulated RT (IMRT) might reduce the probability of postradiation dysphagia by producing concave dose distributions with better avoidance of several critical structures, such as swallowing organs at risk (SWOARs), which might result in better functional outcomes. Similarly, a prompt swallowing rehabilitation provided before, during, and soon after radiotherapy plays an important role in improving oncologic swallowing outcomes.
Author: Stefano Ursino Publisher: ISBN: Category : Electronic books Languages : en Pages : 0
Book Description
In Western countries, head and neck cancers (HNCs) account for about 5% of all tumors. Due to tumor locations at the aero-digestive crossroad, patients frequently suffer from swallowing dysfunction caused both by primary cancer (baseline dysphagia) and cancer therapies (treatment-related dysphagia). In this regard, radiation-induced dysphagia represents a real ,ÄúAchille,Äôs heel,Äù which historically occurs in more than 50% of patients and can lead to a malnutritional status and an increased risk of aspiration pneumonia. In fact radiotherapy, by restricting the driving pressure of the bolus through the pharynx and/or limiting the opening of the cricopharyngeal muscle, leads to a post-swallowing pharyngeal residue that may spill into the airway causing ab ingestis pneumonia. On the contrary, an organ preservation strategy should provide both the highest tumor control probability (TCP) and the minimum function impairment with the subsequent maximum therapeutic index gain. In this regard, intensity-modulated RT (IMRT) might reduce the probability of postradiation dysphagia by producing concave dose distributions with better avoidance of several critical structures, such as swallowing organs at risk (SWOARs), which might result in better functional outcomes. Similarly, a prompt swallowing rehabilitation provided before, during, and soon after radiotherapy plays an important role in improving oncologic swallowing outcomes.
Author: Nagi B. Kumar Publisher: Springer Science & Business Media ISBN: 3642272320 Category : Medical Languages : en Pages : 317
Book Description
Malnutrition and its related symptoms are both frequent and deleterious effects of cancer treatment. Despite the importance of targeted nutritional interventions in ameliorating these effects, however, publications providing up-to-date information on novel nutritional approaches and strategies are lacking. This book is intended to fill the void by describing and evaluating in detail the nutritional strategies that may be employed to alleviate a wide variety of cancer treatment effects. The guidance provided will help to improve the survival and quality of life of cancer patients, and has the potential to dramatically affect how evidence-based clinical practice is established and improved over the coming decade. The author is a distinguished expert in the field who has more than 25 years of experience in oncology nutrition and has been involved in establishing and implementing a Clinical Nutrition Oncology Program.
Author: Simon S. Lo Publisher: Springer Science & Business Media ISBN: 364225604X Category : Medical Languages : en Pages : 433
Book Description
Stereotactic body radiation therapy (SBRT) has emerged as an important innovative treatment for various primary and metastatic cancers. This book provides a comprehensive and up-to-date account of the physical/technological, biological, and clinical aspects of SBRT. It will serve as a detailed resource for this rapidly developing treatment modality. The organ sites covered include lung, liver, spine, pancreas, prostate, adrenal, head and neck, and female reproductive tract. Retrospective studies and prospective clinical trials on SBRT for various organ sites from around the world are examined, and toxicities and normal tissue constraints are discussed. This book features unique insights from world-renowned experts in SBRT from North America, Asia, and Europe. It will be necessary reading for radiation oncologists, radiation oncology residents and fellows, medical physicists, medical physics residents, medical oncologists, surgical oncologists, and cancer scientists.
Author: Krishnakumar Thankappan Publisher: Springer ISBN: 9811082820 Category : Medical Languages : en Pages : 404
Book Description
Dysphagia and problems related to swallowing are common following treatment for head and neck cancers. Though there are books available on dysphagia management and associated neurological conditions, this is the only atlas that comprehensively discusses dysphagia related to the head and neck cancers. It comprises of 33 chapters divided into five sections. The initial chapters present the anatomy and physiology of swallowing and the pathophysiology of the dysphagia-related structures. It discusses assessment of dysphagia in detail, highlighting clinical and instrumental evaluations. Swallowing dysfunction related to common sub-site cancers and chemo-radiotherapy related dysphagia are explored individually. The book addresses direct and indirect swallowing therapy methods involving postures and exercises in a detailed yet simple manner to enable them to be incorporated in routine practice. It also covers topics like nutritional management, alternative feeding methods and unique problems associated with tracheostomy that have a great bearing on the day-to-day management of patients with dysphagia. The current status of the research and evidence- based management updates are also included. Additionally, where appropriate videos are included for a better understanding of the subject. Written and edited by experts in the field, the book is intended for clinicians treating head and neck cancer, head and neck surgeons, radiation oncologists, speech and swallowing therapy specialists and trainees in these fields
Author: Michael Miloro Publisher: John Wiley & Sons ISBN: 1119710693 Category : Medical Languages : en Pages : 548
Book Description
Management of Complications in Oral and Maxillofacial Surgery, 2nd Edition, presents clear and consistent guidance on all aspects of both common and less common, minor and major complications encountered in oral and maxillofacial surgery (OMS) practice. In-depth chapters provide thorough descriptions of each complication and recommend treatment strategies for associated complications of anesthesia, implant surgery, maxillofacial trauma, and more, using easy to read algorithms. Fully revised and expanded, the Second Edition incorporates the most current evidence and advances in the specialty, including implementation of virtual surgical planning for orthognathic and reconstructive surgery. Nine entirely new chapters address complications in minimally invasive cosmetic surgery, lip cancer, dermatopathology and skin cancer, microneurosurgery for trigeminal nerve injuries, transoral robotic surgery (TORS), sialoendoscopy complications, perioperative navigation for dental implants, head and neck radiotherapy, and ambulatory anesthesia in pediatric and geriatric patients. Highlights include: Provides a systematic, easy-to-read approach to complication prevention, recognition, and management Covers most potential complications, ranging from the routine to the complex Features more than 500 high-quality clinical images demonstrating all concepts discussed in the text Includes keywords, tables, learning objectives, and further readings in each chapter Includes treatment algorithms to guide clinical decision-making Edited by prominent oral and maxillofacial surgeons with contributions by leading experts in their respective areas Management of Complications in Oral and Maxillofacial Surgery, Second Edition is a must-have for all oral and maxillofacial surgeons, residents, and trainees, and a valuable resource for dental students and dental practitioners, for clinical practice, and for examination preparation.
Author: C. S. Pitchumoni Publisher: Springer Science & Business Media ISBN: 1441916237 Category : Medical Languages : en Pages : 660
Book Description
As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.
Author: Tobias Warnecke Publisher: Springer Nature ISBN: 3030421406 Category : Medical Languages : en Pages : 416
Book Description
This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.
Author: David Schiff Publisher: Springer Science & Business Media ISBN: 1597454125 Category : Medical Languages : en Pages : 629
Book Description
Neuro-oncology has evolved substantially as a clinical and research discipline over the past few decades. Cancer Neurology in Clinical Practice: Neurologic Complications of Cancer and its Treatment, Second Edition provides clinicians from various backgrounds and levels of training with a reference to help focus the differential diagnosis, treatment strategy, and management plan for the cancer patient with neurologic symptoms and findings. The volume begins with an overview of the field of neuro-oncology and a review of the role of neuroimaging in the diagnosis of neuro-oncologic disease. Several chapters on interpretation and management of common neuro-oncologic symptoms follow. Subsequent sections contain chapters on the direct and indirect neurologic complications of cancer as well as complications of therapy. The final section focuses on the spectrum and management of neurologic disease in patients with cancer of specific organs. Cancer Neurology in Clinical Practice: Neurologic Complications of Cancer and its Treatment, Second Edition is an important new work that aims to broaden and deepen the familiarity of clinicians with the range and management of neuro-oncologic diseases in order to improve the quality of care for cancer patients.
Author: Stefano Ursino
Author: Stefano Ursino
Author: Nagi B. Kumar
Author: Simon S. Lo
Author: Krishnakumar Thankappan
Author: Michael Miloro
Author: C. S. Pitchumoni
Author: Leen Van den Steen
Author: Jeri A. Logemann
Author: Tobias Warnecke
Author: David Schiff