Monday, July 14, 2014

For Head & Neck Cancer Patients-Survivors

The Milton J. Dance, Jr. Head & Neck Center is a pioneer facility; the first ever to take an interdisciplinary approach to the treatment of head and neck cancer. Since our opening in 1980, we have continued to stay in the forefront of care, treating patients from all over the world.



Today, our comprehensive services address every physical and emotional need of patients with head and neck conditions -- from surgery to voice rehabilitation, dentistry to swallowing. Our integrated approach teams the patient and their primary care physician with specialists in the disciplines of:
  • Surgery
  • Medical Oncology
  • Radiation Oncology
  • Speech-Language Pathology
  • Nursing
  • Nutritional Services
  • Occupational Therapy
  • Physical Therapy
  • Oncology Social Work
  • Maxillofacial Prosthodontia
  • Dentistry
Our expertise extends to patients in any stage of care -- from pre-operative to post-operative. The Center's Rehabilitation Services include:
  • daily rounds on inpatients
  • discharge planning and home health care coordination
  • speech, voice and swallowing therapy 
  • outpatient follow-up
  • patient and family counseling and support
  • patient and family education
  • patient assessment
  • head and neck cancer tumor board and patient care conference
Head and neck conditions can be especially devastating for patients. In addition to medical concerns, these conditions can also have a tremendous psychological impact on patients' social lives and their interactions with the world. Oncology patients and their families participate together with a coordinated care team at the Center, whose services may include pre-treatment assessment and teaching, education, psychosocial evaluation and counseling services.

The Center also offers services for adult and pediatric patients with speech, language, voice, cognitive-communicative and swallowing disorders. We have sophisticated voice and dysphagia (swallowing) programs, incorporating state-of-the-art equipment including laryngeal stroboscopy, videofluoroscopy, (FEES) fiberoptic endoscopy, sEMG, transnasal esophagoscopy, Botox, Laryngeal EMG, and a swallowing workstation.

Our personnel are truly dedicated to providing excellent care by extending their commitment into the community with free oral cancer screenings, and by offering long-term follow-up programs to primary care physicians.

For more about The Milton J. Dance, Jr. Head & Neck Center, please call 443-849-8451 or email us.

Thursday, June 12, 2014

Johns Hopkins Head and Neck Surgery

Johns Hopkins Head & Neck Surgery offers a host of minimally invasive procedures including:
  • Advanced Skin Cancer Surgery
  • GBMC's da Vinci® Robotic Surgery Treatment
  • Diagnostic Ultrasound
  • Endoscopic Laser Resection of Laryngeal Tumors
  • Laryngectomy
  • Management of head and neck premalignancy
  • Mandibulectomy
  • Melanoma Surgery
  • Minimally Invasive Skull Base Surgery
  • Neck Dissection
  • Parathyroidectomy
  • Parotidectomy
  • Salivary Gland Surgery
  • Sentinel Lymph Node Mapping and Biopsy
  • State-of-the-art video endoscopic instrumentation including flexible endoscopy
  • Thyroidectomy
  • Tracheo-Esophogeal Puncture
  • Transnasal Esophagoscopy
  • Transoral Robotic Surgery

Johns Hopkins Head & Neck Surgery team work hand-in-hand with the multidisciplinary team of professionals at theMilton J. Dance, Jr. Head and Neck Center to ensure a coordinated plan of care for patients with head and neck conditions.

Patients and their families receive education and counseling during every stage of care. Individual and group support services are provided by a team that consists of speech-language pathologists, head and neck nurse specialist, oncology social workers and a registered dietitian.

Multidisciplinary team services provided by the Milton J. Dance, Jr. Head & Neck Center include:
  • Head and Neck Nursing
  • Oncology Social Work
  • Speech Pathology Services
  • Nutritional Counseling
  • Oral Pathology/Oral Medicine
  • Maxillofacial Pathology

Monday, May 19, 2014

Multidisciplinary Comprehensive Rehabilitation Following Laryngectomy 2014

September 12 - 13, 2014 

VIEW BROCHURE

About the program:
Although the goal of every clinician is organ preservation, a total laryngectomy is often
unavoidable in patients with advanced stage laryngeal and hypo pharyngeal cancer or
recurrent disease. Fortunately, the quality of life following a total laryngectomy is very
good provided surgical and rehabilitation efforts are optimal. Over the last several
decades considerable progress in voice, pulmonary and olfaction rehabilitation of the
 total laryngectomy patient has been made. This course will share current trends and
practices in post-laryngectomy rehabilitation. A cadaver resection lab offers attendees a
unique and powerful learning experience in surgical techniques for total laryngectomy.
Additionally, a hands-on lab with patient volunteers provides attendees the opportunity
to learn techniques of tracheoesophageal prosthesis replacement.

Program Objectives

By attending this program participants will:
  • Describe the surgical techniques of total laryngectomy as learned through the cadaver lab
    component of this course.
  • Describe the latest in surgical techniques for voice restoration following total laryngectomy.
  • Differentiate between primary and secondary voice prosthesis placement and identify pros
    and cons of each.
  • Describe the decision making process in selecting the appropriate voice prosthesis.
  • Discuss the benefits of heat moisture exchangers (HMEs) and free hands valves.
Please call Barbara Messing, M.A., CCC-SLP, BCS-S at 443-849-8451 for questions
regarding any of our upcoming conferences. 

Tuesday, April 15, 2014

FREE Oral Screenings

The Milton J. Dance, Jr. Head and Neck Center at GBMC is offering FREE oral screenings on Tuesday, April 22.

Appointments begin at 3:30 p.m.

This screening is especially good for people using tobacco and/or alcohol products. 

Please register through the Screening Line at 443-849-3080. Learn more: http://bit.ly/QiiCdV

Monday, March 31, 2014

Resources, links and other information available for you.


Periodical-on-line journals
Journal of the American Medical Association
www.jama.com
Oncology Issues
www.accc-cancer.org/ 

Other Journal Information
Journal of Fluency Disorders
http://www.elsevier.com/

Advocacy Sites
Tobacco Free - Education for people of all ages on smoking and tobacco use
www.tobaccofree.org

Cancer (General) Sites
American Cancer Society
www.cancer.org
Cancer Care. Source for information, resources, and services available to cancer patients.
www.cancercare.org
National Coalition for Cancer Survivorship (NCCS). Grassroots network of individuals and organizations working on behalf of people with all types of cancer.
www.canceradvocacy.org

Caregiver Sites 
National Family Caregivers Association (NFCA) Addresses common needs of all family caregivers.
www.nfcacares.org
Well Spouse Foundation. A site for well spouses who face the same problems of anger, guilt, fear, isolation, grief and financial threat, whether they are full-time caregivers or whether their partners have only moderately disabling illnesses.
www.wellspouse.org
Partnership for Caring: America's Voices for the Dying is a coalition of individual consumers, consumer organizations, health care professionals and health care organizations advocating for needed changes in professional and public policy and health care systems to improve care for dying persons and their families.
http://www.partnershipforcaring.org

Disability
Social Security. The official website of the social security administration. Information on disability, Medicare and how to apply for services.
http://ftp.ssa.gov

Head and Neck Cancer Related Sites 
American Academy of Otolaryngology-Head and Neck Surgery
www.entnet.org
American Brain Tumor Association: Learn about the latest treatments, research, support resources as well as ABTA events
www.abta.org
Cancer of the Larynx. Information, support and assistance for cancer of the larynx patients.
http://www.webwhispers.org
Cancer of the Larynx Information. This center provides information from the International Association of Laryngectomees (IAL). Includes resources for obtaining assistance and support from local organizations, where to find qualified speech pathologists and other events of interest. Has information on the association's listserv "web whispers".
http://www.theial.com/ial/
Thyroid Cancer. An excellent site for information on types of thyroid cancer and treatment.
www.endocrineweb.com/thyroidca.html
National Oral Cancer Awareness Program (NOCAP). A resource for professionals and the public.
www.oralcancer.org

Legislation
National Institute on Disability and Rehabilitation Research
http://www.ed.gov/about/offices/list/osers/nidrr/index.html?src=mr 

Speech and Swallowing
The American Speech-Language Hearing
www.asha.org
Electronic Speech Enhancement. Information on the ESE device for individuals with neuromuscular impairment and other voice/speech disorders.
www.speechenhancer.com

Support Sites
WebWhispers Nu Voice Club - An active international Email-based online laryngectomee support group with a Newsletter and a Loaner Closet.
www.webwhispers.org
Support for People with Head and Neck Cancer. A patient directed self-help organization dedicated to meeting the needs of Oral and Head and Neck Cancer patients.
www.spohnc.org

Cancer Care - Source for information, resources, and services, online support groups.
www.cancercare.org

Saturday, March 1, 2014

Head and Neck Cancer

My husband had surgery to remove a stage 4 cancerous growth last Monday. On our return appointment the Dr recommended radiation for 7 weeks followed by chemotherapy. They found cancer in the left tonsil and 4 lymph nodes. 

Should my husband seek a second opinion for this follow up therapy? Which Dr would you suggest he see?

Thank you.

Joseph Califano, MD, F.A.C.S. replies...

Without the specific details of your husbands history and operative pathology, it is difficult to give a precise answer your question. However, there are a few general guidelines that can be helpful. For squamous cell carcinoma of the tonsil with multiple (two or greater) metastases to the neck on the same side of the tumor treated with surgical excision and neck dissection, it is generally accepted that postoperative radiation therapy is given after surgery. Chemotherapy is recommended as an addition to postoperative radiation therapy if the margins on the tonsil resection are close or positive, meaning that the tumor is close to or at the edge of the tonsil tissue that was removed by your surgeon. In addition, chemotherapy is recommended in addition to radiation after surgery if the lymph nodes removed show something called "extra capsular spread" or that the tumor has invaded outside the capsule of one or more lymph nodes. Finally, some physicians recommend the addition of chemotherapy to postoperative radiation therapy if patients have many lymph nodes (four would qualify as many) or if the lymph nodes are a large size. These guidelines for radiation with or without chemotherapy after surgery are based on two large trials, one in Europe and one in the United States, that were well run and have high quality data.

Joseph Califano, MD, F.A.C.S.
Head & Neck Surgeon
Johns Hopkins Head & Neck Surgery located at GBMC