2017 Bluegrass Laryngectomy Conference

Saturday, September 16, 2017

University of Kentucky, Wethington Building, Room 127

Course Description:

The state of Kentucky has the second highest incidence of head and neck cancer in the United States. Although preservation of the larynx is the ideal treatment outcome, total laryngectomy continues to be the standard of care for the management of patients with advanced stage laryngeal and hypopharyngeal cancers as well as patients with recurrent disease. Moreover, many patients who have undergone organ preservation treatment ultimately benefit from a total laryngectomy for management of intractable aspiration and chronic airway obstruction. Fortunately, overall quality of life following total laryngectomy can be optimized with high quality, multidisciplinary rehabilitative services.

This intermediate level one-day course provides participants with a basic understanding of surgical management of laryngeal cancer, communication options after total laryngectomy, diagnosis and management of lymphedema, evaluation and treatment of dysphagia, and pulmonary rehabilitation post laryngectomy. Additionally, attendees will participate in hands-on and observational labs with patient volunteers. Areas addressed in the hands-on and observational labs will include:  tracheoesophageal voice prosthesis (TEP) troubleshooting skills, artificial larynx device selection and parameters for teaching functional communication, as well as tracheostoma management strategies, baseplate use, pulmonary rehabilitation via heat and moisture exchangers and use of hands-free devices.

Who Should Attend?

  • Speech Language Pathologists
  • Laryngectomized individuals and those who care  for/about them
  • Allied Health professionals who care for laryngectomized individuals
  • Anyone interested in expanding their understanding and clinical knowledge about rehabilitation of laryngectomized individuals

Program Objectives:

As a result of this activity, participants will be able to:

  • Describe the impact of total laryngectomy on quality of life.
  • Describe the parameters of functional communication with an artificial larynx.
  • Differentiate between primary and secondary voice prosthesis placement and identify pros and cons of each.
  • Define central vs. peripheral prosthesis leakage and strategies for management of leakage.
  • Describe appropriate physical therapy interventions to address lymphedema and scar tissue restrictions.
  • Describe two common swallowing issues associated with total laryngectomy and management strategies.
  • Describe the impact of total laryngectomy on pulmonary function and the benefits of heat moisture exchanger (HME) use.
  • List two common methods of managing stoma stenosis.

INSTRUCTIONAL FACULTY COMPLETE BIO’S AND DISCLOSURES:

Vrushali Angadi PhD, CCC-SLP earned her doctoral degree in Rehabilitation Sciences from the University of Kentucky. She received her Bachelor’s and Master’s degree in Speech-Language Pathology and Audiology from the University of Mumbai, India. She completed a Research fellowship at the Tata Memorial Hospital in Mumbai, India with a focus on alaryngeal voice and speech rehabilitation. She is currently an Assistant Professor in the Division of Communication Sciences and Disorders, and Speech-Language Pathologist in the University of Kentucky Voice and Swallow Clinic.

  • Financial: Dr. Angadi receives a salary from the University of Kentucky.
  • Non-financial: Dr. Angadi does not have any relevant non-financial relationships to disclose.

Beth Butcher PT, CLT DPT CLT-LANA earned her BHS in physical therapy from the University of Kentucky in 1994 and her transitional DPT in 2008.  She completed her initial lymphedema certification course in 1998 and has been certified with the Lymphology Association of North America since 2001.  Ms. Butcher has worked at the University of Kentucky for her entire professional life and currently practices at the Good Samaritan outpatient location with a focus on oncology and lymphedema clients.

  • Financial: Ms. Butcher receives a salary from the University of Kentucky.
  • Non-financial: Ms. Butcher does not have any relevant non-financial relationships to disclose.

Elizabeth Campbell MA, CCC-SLP earned a Master of Arts in Speech-Language Pathology from Miami University (OH): May 2015. She completed her Clinical Fellowship Year at the University of Kentucky Voice & Swallow Clinic in June 2016 and is currently a clinical Speech-Language Pathologist in the University of Kentucky Voice and Swallow Clinic.

  • Financial: Ms. Campbell receives a salary from the University of Kentucky.
  • Non-financial: Ms. Campbell does not have any relevant non-financial relationships to disclose.

Dan Croake, MM, PhD, CCC-SLP earned his master’s and doctoral degrees in Rehabilitation Sciences from the University of Kentucky. He also has a master’s degree in Voice Performance and Pedagogy from Ohio University, and certification in Vocology from the University of Iowa. Dr. Croake is currently an Assistant Professor in the Division of Communication Sciences and Disorders, and Speech-Language Pathologist in the University of Kentucky Voice and Swallow Clinic.

  • Financial: Dr. Croake receives a salary from the University of Kentucky.
  • Non-financial: Dr. Croake does not have any relevant non-financial relationships to disclose.

Mark Finfrock RT graduated from Grossmont College, in San Diego in 1979 and has been a Registered Respiratory Therapist since that time.  He is currently a Respiratory Therapist at University Kentucky Children’s Hospital. Mr. Finfrock has been a guest lecturer at numerous state, local and international laryngectomy rehabilitation programs.

  • Financial: Mr. Finfrock receives a salary from the University of Kentucky.
  • Non-financial: Mr. Finfrock does not have any relevant non-financial relationships to disclose.

Alexandra Kejner MD an Otorhinolaryngologist/Head & Neck Surgeon and Assistant Professor of Head and Neck Surgical Oncology and Microvascular Reconstruction at the University of Kentucky Department of ENT. She graduated from the University of Michigan Medical School in 2009. She completed her otorhinolaryngology residency at the University of Alabama – Birmingham before pursuing an advanced training fellowship at the University of Pennsylvania. While there, she received further training in head and neck oncology, skull base surgery, transoral robotic surgery, and microvascular free tissue transfer.

  • Financial: Dr. Kejner receives a salary from the University of Kentucky.
  • Non-financial: Dr. Kejner does not have any relevant non-financial relationships to disclose.

Tammy Wigginton MS, CCC-SLP BCS-S earned her Master’s Degree in Speech Language Pathology from Murray State University in Murray, Kentucky in 1991. Ms. Wigginton is a speech language pathologist in the UK Voice and Swallow Clinic and is also a member of the Dysphagia Research Society, an International Association of Laryngectomee Alaryngeal Speech Instructor and a Board Certified Specialist in Swallowing Disorders. 

  • Financial: Ms. Wigginton receives a salary from the University of Kentucky.
  • Non-financial: She does not have any relevant non-financial relationships to disclose.

JoAnna Sloggy MA, CCC-SLP received a Bachelor’s Degree in Music, from Methodist University and a Master’s Degree in Communication Sciences and Disorders from the University of Memphis.  She completed her clinical fellowship focusing on voice and upper airway disorders at the University of Kentucky Voice & Swallow Clinic and is currently the Singing Voice Specialist for the clinic.

  • Financial: Ms. Sloggy receives a salary from the University of Kentucky.
  • Non-financial: Ms. Sloggy does not have any relevant non-financial relationships to disclose.

Debra Suiter PhD, CCC-SLP BCS-S is the Director of the UK Voice and Swallow Clinic and an Associate Professor in the Division of Communication Sciences and Disorders. Dr. Suiter received a Master’s Degree in Speech Pathology in 1993 and a Doctoral Degree in Speech and Hearing Science in 2001, both from The University of Tennessee-Knoxville. Dr. Suiter is a member of the Dysphagia Research Society and Board Certified Specialist in Swallowing Disorders. She is also the co-author of The Yale Swallow Protocol with her research partner and mentor and friend, Dr. Steven Leder.

  • Financial: Dr. Suiter receives a salary from the University of Kentucky.
  • Non-financial: Dr. Suiter does not have any relevant non-financial relationships to disclose. 

FACULTY DISCLOSURE: It is the policy of University of Kentucky Health Care College of Health Sciences to ensure balance, independence, objectivity and scientific rigor in all its educational activities. In accordance with our policy, faculty is required to disclose all relevant financial relationships.

DISCLOSURE POLICY: All speakers will disclose to participants the nature of any financial/non-financial relationship they have with the commercial firms providing support, as well as the commercial manufactures of products and/or the providers of services discussed in their presentations. They will also disclose if any pharmaceuticals or medical procedures and devices are investigational or unapproved for use by the U.S Food and Drug Association (FDA). A full list of faculty disclosures is available at (COURSE WEBSITE)

CONTINUING EDUCATION CREDITS: University of Kentucky designates this live activity for 0.7 (Instructional Level: Intermediate, Content Area: Professional, Subject Area: 1020 Voice Disorders)

To earn ASHA CEU’s you must:

  • Bring your ASHA number the day of the course
  • Complete ASHA CEU form the day of the course
  • Be present for the entire course. No partial credit will be provided

Time Ordered Agenda Speech Pathologist

AM: Joint Session for Speech Pathologists, Laryngectomized Individuals and Caregivers

  • 7:00-8:00 / Registration (breakfast provided)
  • 8:00-8:15 / Introduction/Learning Objectives - Tammy Wigginton MS, CCC-SLP BCS-S
  • 8:15-9:00 / Surgical Management of Laryngeal Cancer - Alexandra Kejner MD
  • 9:00-9:45 / Artificial Larynx Training: Keys to Successful Communication - Tammy Wigginton MS, CCC-SLP BCS-S
  • 9:45-10:15 / Break
  • 10:15-11:00 / Tracheoesophageal Speech: Introduction to Placement and Troubleshooting - Vrushali Angadi PhD, CCC-SLP
  • 11:00-11:30 / Diagnosis and Management of Lymphedema - Beth Butcher PT, DPT CLT-LANA
  • 11:30-12:00 / Evaluation and Treatment of Dysphagia Post Laryngectomy: A Bitter Pill to Swallow - Elizabeth Campbell MA, CCC-SLP
  • 12:00-1:00 / Lunch Provided

PM: Speech Pathologists and Selected Larygectomized Participants

  • 1:00-1:45 / Pulmonary Rehabilitation: Breathe Easy - Mark Finfrock RT
  • 1:45-2:00 / Break
  • 2:00-3:45 / Observational and Hands-On Learning Stations
    • TEP (Vrushali Angadi PhD, CCC-SLP & JoAnna Sloggy MA, CCC-SLP)
      • Central vs. peripheral leakage
      • Appropriate fit
      • How to place and secure a catheter
      • Observe a prosthesis change
    • Artificial Larynx (Tammy Wigginton MS, CCC-SLP & Elizabeth Campbell MA, CCC-SLP)
      • Device selection
      • Instrument adjustment
      • Placement
      • Parameters of functional speech
    • Tracheostoma Management/Pulmonary Rehabilitation (Mark Finfrock RT & Dan Croake MM, PhD, CCC-SLP)
      • Assessment of stoma size
      • Laryngectomy tube placement
      • Baseplate selection and placement
      • Attachment of a baseplate
      • HME use
  • 3:45-4:00 / Break and snack
  • 4:00-4:45 / Panel Discussion Moderated by Debra Suiter PhD, CCC-SLP BCS-S
  • 4:45-5:00 / Closing Remarks, Question & Answer Session, Evaluation - Tammy Wigginton MS, CCC-SLP BCS-S

PM: Special Breakout Session for Laryngectomized Participants and Caregivers

Sponsored by: University of Kentucky Markey Cancer Center, Department of Psych-Oncology

Moderators: Joan Scales, LCSW & Jenny Delap MSSW, CSW, OSW-C

  • 2:00-2:30 / Survivorship - Joan Scales, LCSW & Jenny Delap, MSSW, CSW, OSW-C
  • 2:30-3:00 / Healthy Eating with Modified Textures - Rachel Miller, MS, RD, CSO, LD
  • 3:00-3:30 / Kentucky Telecommunication Access Program - Jessica Endler & Rowena Holloway from the Kentucky Commission on the Deaf and Hard of Hearing
  • 3:30-4:30 / Meeting to dicuss formation of a Bluegrass Area Visitor Program

Parking

Parking is free in the Kentucky Clinic parking garage. Map below.

Questions

For registration information, please call Tammy Jo Edge at  859.218. 0493

For content information, please call Tammy Wigginton at 859.218.0471

 

Please note: The current rate for Speech Language Pathologist ($75) is the Advance Registration rate. After 8/31/17 the rate will increase to $100.

If you are a laryngectomee, you can attend free of charge and you are allowed to bring one guest who can also attend free of change. However you do still need to register for the conference.

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