A speech therapist has a vital role in the pre- and post op management of laryngeal cancer, because Laryngectomy patients have to undergo speech management. So here are some of the things to know about laryngectomy.
A Team Approach
Firs off, the management of laryngeal cancer requires a team approach. The patient gets to see a surgeon, radiologist, audiologist, speech-language pathologist, oncologist, physical therapist, maxillofacial prosthodontist, and a psychiatrist. All of these health care professionals work together to work on the management of the patient.
What Is Laryngectomy?
Laryngectomy is the total removal of the larynx. It is also the partition of the airway from the nose, mouth, and esophagus. A person that undergoes this kind of operation would have to breathe via an opening on the neck, called stoma.
Laryngectomy is done when a person has laryngeal cancer. It may be considered to be a traditional way of managing laryngeal cancer, since a lot of laryngeal cancer cases nowadays are treated with the use of chemotherapy, radiation, or other laser procedures. In severe cases that these don’t work, that is the only time laryngectomy is opted for.
Other than the larynx, other structures are also removed. These other structures includes Sternocleidomastoid, Omohyoid muscle, Internal Jugular
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Voice training is done to find an appropriate source of sound production that can be articulated for communication purposes. Criteria for selecting sound source include: degree of tissue loss, esophageal stenosis, physical limitations of the patient; noise level of the patient’s environment; motivation level; and patient’s preference of sound source.
Types Of Sound Source
There are mainly three types of sound source a patient can choose from. These are: external man-made prosthesis or artificial larynx; sphincter like junction of the pharynx and esophagus or esophageal speech; and lastly, surgically implanted device or transesophageal puncture and silicon prosthesis.
The principle of artificial larynx is to have an external mechanical sound source that is substituted for the larynx. Anatomic structures for articulation and resonance are most of the time unaltered.
There are two general types of electrolarynges that are available: neck type and intra oral type. The neck type is placed flush to the skin on the side of the neck, under the chin, or on the cheek. Sound is conducted via the oropharynx and is articulated normally.
The intraoral type is used for patients that can’t conduct sound through skin adequately. A small tube is placed toward the
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Many wonder why anyone would practice self-injury, as it is painful and dangerous. However, with autistic children, self-injury occurs more often than not. There are several theories as to why this practice can be prevalent in autistic children, and there are some methods you can use to help ease this distressing practice.
Because autistic children are unable to communicate through language the way that others can, they often feel frustrated at not being understood or at not getting what they need or want. Thus, autistic children may commit self-injury, by banging their heads or biting themselves (among other tactics), to release some of that frustration that cannot be communicated through words. Also, self-injury is a way of getting attention. An autistic child’s frustration goes hand-in-hand with wanting attention. For instance, by scratching oneself until one bleeds, the autistic child will immediately get someone’s attention, and this person will work to understand what the child wants or needs.
This theory of frustration and attention has been the sole thinking for quite some time. Recently, however, studies have shown that self-injury can have a biochemical component that relieves some of the pain and frustration one feels by releasing endorphins, or “happy hormones,”
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Schedules are an important part of every child’s life. This is especially true when dealing with a child of special needs like Autism. Having a schedule will help the Autistic child feel a sense of structure. Children with Autism often have anxiety issue they are dealing with. Having a schedule helps the levels of anxiety to drop. They know what to expect on a daily basis. They know at a certain time of the day what they will be doing.
If there is no schedule or structure in an Autistic child’s daily life things will be very hectic. An Autistic child has lots of doctors and therapist appointments. Sometimes there will be more than one appointment a day. Keeping a schedule can help you and your child to make sure they do not miss any appointments.
Some Autistic children have trouble with reading. You can use a visual schedule. Have pictures for all the daily activities. This allows them to see what is coming next. Having a schedule for your Autistic child will help avoid some breakdowns. Keep the schedule posted where your child can see it. If you have to change the schedule explain the changes to
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Aspergers is a form of Autism. People with Aspergers syndrome are on the higher end of the spectrum. They usually have normal language skills. Their main problem is dealing with people socially. Usually these problems are first noticed when a child begins school. The child can have all the signs of Aspergers, or only a few. Here are some of the common signs of Aspergers syndrome.
1. Have a hard time talking to other kids. Kids with Aspergers syndrome have a hard time going up to someone and starting a conversation.
2. Speak in words that are very advanced for their age. The Asperger’s child may use words that adults would use.
3. Have trouble understanding when someone is joking, or being sarcastic. Children with Aspergers have a hard time understanding tones of people’s voices. They tend to take everything said seriously.
4. Have very limited interests. A child with Aspergers syndrome may only want to focus on one thing. They may take a liking to puzzles, and only want to do puzzles all the time. They will often learn everything they can about one subject. That will be all they focus on.
5. Have a hard time with
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Many parents hope that in finding a source of autism, this disorder can be cured or prevented. Unfortunately, scientists have yet to find one single reason why children develop autism. It is possible that someday autism will be linked to a specific gene abnormality, but the more likely source is not one thing, but a number of factors in a child’s world. Autism cannot be prevented or cured, so the best we can do to help autistic children and adults is be understanding and willing to compromise to make the world comfortable for them and ourselves.
First off, there are certain things that do not cause autism, and these myths should be laid to rest immediately. Most importantly, bad parenting does not cause autism. In the past, mothers were blamed for traumatizing their children with cold parenting techniques, which was thought to lead to autism. This is simple not true. Autism is also not caused by malnutrition, although food allergies occur in my autistic children and some autistic children do benefit from taking daily vitamins.
There are many links between autism and the brain. Most people with autism have larger brains and they are “wired” differently than a typical brain.
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The needs of an Autistic child can make photographing them very difficult. They can have a hard time sitting in one position, or have sensory issues with bright lights. Here are some tips for getting the perfect picture of your Autistic child.
1. If you are going to a photographer make sure you let them know ahead of time your child is Autistic. Let them know of any issues with bright lights, or problems sitting still. This will give them time to make some changes if need be.
2. Take pictures of your Autistic child at home, or on outings. A picture does not have to be taken by a professional to be good. If your child has a hard time sitting still get a picture of them while they are sleeping.
3. Take our child to get their picture taken during good times of the day. If you know that afternoons are usually filled with temper tantrums ad meltdowns make the appointment for first thing in the morning, or another time your child is more relaxed.
4. If your child has a special toy that helps them feel relaxed take it along to the photo session. It might help
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