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Laryngeal cancer and oral mucositis: Laryngeal cancer and oral mucositis Expert commentary Amen Sibtain Expert commentary Amen Sibtain 

Laryngeal cancer and oral mucositis: Laryngeal cancer and oral mucositis Expert commentary Amen Sibtain Expert commentary Amen Sibtain
Chapter:
Laryngeal cancer and oral mucositis: Expert commentary Amen Sibtain
Source:
Challenging Concepts in Oncology
Author(s):

Gemma Eminowicz

DOI:
10.1093/med/9780199688883.003.0019

Hoarseness or voice change can be a presenting feature of laryngeal carcinomas. Diagnosis is confirmed with nasendoscopy, staging imaging, and biopsy. Laryngeal cancer is the commonest of all head and neck tumours, and treatment depends upon the stage of disease. Localized disease may be treated with surgical procedures, e.g. laser resection or partial laryngectomy, or radiotherapy which may preserve voice function more successfully. More advanced disease may be treated with total laryngectomy and/or chemoradiotherapy. Before chemoradiotherapy is started, the dental, nutritional, and SALT status must be assessed and optimized. Careful monitoring of the nutritional status and SALT throughout treatment is essential. Patients should stop smoking; nutritional support should continue, and mucositis be managed carefully throughout chemoradiotherapy. The case history discussed here highlights all of these important issues in laryngeal carcinoma.

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