2018 Bluegrass Laryngectomy Conference

Saturday, August 18th, 2018

The state of Kentucky has one of the highest incidences of head and neck cancer in the United States. While the national trend shows an overall increase of 0.3%, the state of Kentucky is demonstrating an increase of 2.17% since 2001. Laryngeal cancer and associated treatments typically result in significant morbidity with particularly harmful effects on quality of life. The complex rehabilitative needs of these patients have increased the number of referrals to the speech-language pathologist for management of communication and swallowing problems. In response to this demand, many speech-language pathologists will need to expand their scope of practice to include proficiency in understanding and treating patients after laryngectomy.

Course Description:  This intermediate level course provided 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. Participants also participated in hands-on and observational labs that provided additional understanding of tracheoesophageal voice prosthesis (TEP) troubleshooting skills, artificial larynx training, tracheostoma management and pulmonary rehabilitation.

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 the conclusion of this activity, the participant will be able to:

  1. Describe the indications for surgical management of laryngeal cancer.
  2. Describe common pitfalls in acquiring electrolarynx speech, and apply basic troubleshooting skills with electrolarynx (EL) speech and apply basic troubleshooting skills with EL device function and use.
  3. Describe one advantage of tracheoesophageal speech as a method of communication and one disadvantage of tracheoesophageal speech as a method of communication.
  4. Describe two strategies for managing tracheostoma stenosis.
  5. Describe two common swallowing issues patients experience after total laryngectomy.
  6. Describe the impact of total laryngectomy on pulmonary function.
  7. Describe the symptoms of spinal accessory nerve dysfunction and how this dysfunction can negatively impact total rehabilitation of the Laryngectomized patient.

Time Ordered Agenda

AM: Speech Pathologists

  • 7:00-7:45 (45 min.) | Registration/Breakfast Provided
  • 7:45-8:00 (15 min.) | Introduction/Learning Objectives
  • 8:00-8:45 (45 min.) | Understanding the Surgical Management of Laryngeal Cancer: Alexandria Kejner MD
  • 8:45-9:15 (30 min.) | Use of the Electrolarynx in Voice Rehabilitation: Dan Croake MM, PhD, CCC-SLP
  • 9:15-9:45 (30 min.) | Break
  • 9:45-10:30 (45 min.) | Tracheoesophageal Speech: Vrushali Angadi PhD, CCC/SLP
  • 10:30-11:00 (30 min.) | Tracheostoma Management:  Tammy Wigginton MS, CCC/SLP BCS-S
  • 11:00-12:00 (60 min.) | Evaluation and Treatment of Dysphagia Post Laryngectomy: Mark Fritz MD and Debra Suiter PhD, BCS-S, FASHA, CCC-SLP
  • 12:00-1:00 (60 min.) | Lunch Provided

PM: Group Session: Speech Pathologists, Larygectomees and caregivers

  • 1:00-1:45 (45 min.) Pulmonary Changes After Total Laryngectomy: Respiratory Mark Finfrock RT
  • 1:45-2:15 (30 min.) The Impact of Spinal Accessory Nerve Injury on Quality of Life: Beth Butcher PT, CLT DPT CLT-LANA
  • 2:15-2:45 (30 min.) Psychosocial Support for Laryngectomee Patients and Their Caregivers Paige Walker MSW, CSW
  • 2:45-3:00 (15 min.) Break/Snacks
  • 3:00-4:30 Labs
    • Vrushali Angadi PhD, CCC/SLP and Alexandra Kejner MD:  Observe removal of a tracheoesophageal voice prosthesis, measurement of tract length, insertion of dilator and insertion of voice prosthesis
    • Dan Croake MM, PhD, CCC-SLP and Michele Zaparanick-Brown, MA, CCC-SLP: Observe electrolarynx device selection, instrument adjustment, parameters of functional speech and device maintenance
    • Mark Finfrock RT & Mark Fritz MD:  Observe assessment of stoma size, laryngectomy tube placement, baseplate selection and heat moisture exchanger (HME) use
    • Kentucky Telecommunications Access Program (KTAP): Kentucky Commission on the Deaf and Hard of Hearing.
  • 4:30-5:00 (30 min.) Closing Remarks/ Evaluation

Location

University of Kentucky

Charles T. Wethington, Jr. Building

Thomas C. Robinson Commons, Room 127

Instructional Personnel Bio’s & Disclosures:

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 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: Ms. Wigginton does not have any relevant non-financial relationships to disclose.

Alexandra Kejner MD is an Otorhinolaryngologist/Head and Neck surgeon and Assistant Professor of Otolaryngology, Head and Neck Surgery at the University of Kentucky. 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.

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. Dan is currently an Assistant Professor in the Division of Communication Sciences and Disorders, and speech-language pathologist in the UK 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.

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 UK 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.

Mark Fritz, MD is an Otolaryngologist and an Assistant Professor in the University of Kentucky, Department of ENT. He received his medical degree from Vanderbilt University School of Medicine in 2011, completed his residency in Otolaryngology at New York University in 2016 and completed his Fellowship in Laryngology at the Medical College of Georgia in 2017.

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

Debra Suiter PhD, CCC/SLP BCS is the Director of the UK Voice and Swallow Clinic and Associate Professor in the Division of Communication Sciences and Disorders. She 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. Suiter has extensive experience working with adults with swallowing disorders. She is a board-certified specialist in swallowing and swallowing disorders and currently serves on the boards of the American Board for Swallowing and Swallowing Disorders and the Dysphagia Research Society. 

  • 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.

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 laryngectomee 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.

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. Beth 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.

Paige Walker MSW, CSW is an oncology social worker in Markey Psych-Oncology department.  Paige is a graduate of the University of Kentucky with a Master’s Degree in Social Work. 

  • Financial: Ms. Walker receives a salary from the University of Kentucky.
  • Non-financial: Ms. Walker 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.

Michele Zaparanick-Brown, M.A., CCC-SLP is a graduate of the University of Kansas with a Master of Arts in Speech-Language Pathology.  Ms. Zaparanick-Brown is a speech language pathologist in the UK Voice and Swallow Clinic.  She is an affiliate of ASHA Special Interest Group 13, Swallowing and Swallowing Disorders, and a member of the Kentucky Speech-Language-Hearing Association Scholarships and Grants Committee.

  • Financial: Ms. Zaparanick-Brown receives a salary from the University of Kentucky.
  • Non-financial: Ms. Zaparanick-Brown 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).

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

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

In kind Support Donations provided by: 

Pending - Archer Medical Devices LLC, Atos Medical, InHealth Technologies, Olympus and Lauder Enterprises

 

Parking

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

Questions

For questions, please call Mikailyn Estep at (859) 218-0493

 

Please note: The current rate for Speech Language Pathologist ($75) is the Advance Registration rate. After 8/06/18 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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