MindMap Gallery Throat cancer mind map
This is a mind map about laryngeal cancer, which mainly includes the causes and pathogenesis, Laryngeal cancer classification, Nursing assessment, nursing measures, etc.
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Throat cancer
Cause and pathogenesis
Smoking: It is generally estimated that the risk of laryngeal cancer in smokers is 3 to 39 times that of non-smokers.
Drinking alcohol: The risk of developing throat cancer is 1.5 to 4.4 times higher than that of non-drinkers.
Air pollution. Long-term inhalation of pollutant dust or waste gas can cause cancer.
Viral infection: Adult papilloma is a viral tumor caused by human papilloma virus. It is currently considered to be a precancerous lesion of laryngeal cancer.
precancerous lesions
Radiation Long-term exposure to radioactive isotopes such as radium, uranium, and radon can cause malignant tumors
Trace element deficiency. The lack of certain trace elements in the body can cause changes in the structure and function of enzymes, affect cell division and proliferation, and lead to gene mutations.
Laryngeal cancer classification
Supraglottic type: originates in the area above the vocal cords, accounts for 30%, is poorly differentiated, easy to metastasize, and has a poor prognosis
Glottic type: Cancer is limited to the vocal cords, with more cases in the front and middle 1/3 of the vocal cords, accounting for 60%. It is well differentiated, has less metastasis, and has a better prognosis.
Subglottic type: cancer at the lower edge of the cricoid cartilage below the vocal cord and above, accounting for 6%, and prone to lymph node metastasis
Paraglottic type: also called transglottic cancer, refers to cancer tumors that originate in the laryngeal chamber and develop vertically along the glottis. This type is rare and its main feature is extensive invasion of the paraglottic space.
nursing assessment
Health history: Have a habit of smoking and drinking, and may have a history of chronic laryngitis, laryngeal leukoplakia, severe vocal cord dysplasia, or laryngeal papilloma.
physical assessment
supraglottic type
In the early stage, there is only throat discomfort or foreign body sensation
When ulceration develops, there may be sore throat and blood in the sputum.
When it invades the vocal cords downward, there will be hoarseness and difficulty breathing.
glottal type
Main symptoms: hoarseness, appearing early and gradually getting worse
Late stage bloody sputum and laryngeal obstruction
subglottic type
May be asymptomatic in early stages
As the disease progresses, cough, bloody sputum, and difficulty breathing may occur.
paraglottic type
May be asymptomatic in early stages
Hoarseness may occur when vocal cords are violated
Auxiliary inspection
Impact examination: laryngeal X-ray, CT or MRI
Pathological examination: biopsy
psychological and social assessment
Processing principles
Comprehensive treatment: Mainly surgical treatment, which can be combined with radiotherapy, chemotherapy and immunotherapy according to the condition.
Surgical principles: Complete tumor resection, preserve or reconstruct laryngeal function as much as possible, and improve quality of life
Nursing measures
Care before special treatment
Patients with laryngeal cancer complicated by reverse laryngeal nerve paralysis should sit or semi-sitting and eat soft food
Pay close attention to breathing, consciousness and the color of skin and mucous membranes, and inhale oxygen if necessary
Maintain oral hygiene
For patients with preoperative local infection, antibiotics should be administered early; for patients without infection, antibiotics should be administered after biopsy.
No smoking and alcohol
Instruct the patient to eat a high-protein and high-calorie diet to strengthen nutrition
Introduce current advanced treatment methods and increase patient confidence
For those who require total laryngectomy, it means that the purpose of total laryngectomy is to save lives. After surgery, electronic laryngology or artificial laryngology can be used to communicate, so that patients can be treated with peace of mind.
Radiation therapy care
Explain the significance of radiation therapy
Observe whether there is difficulty breathing. If you wear a tracheostomy, you need to replace the non-metallic cannula during radiotherapy.
Radiation therapy causes redness, swelling and ulcers on the skin. You should clean it and apply antibiotic ointment locally.
Total laryngectomy care
Preoperative care
Postoperative care
Partial laryngectomy care
Preoperative care
Postoperative care
Post-tracheotomy care
Lie on your back with your head slightly lowered, and maintain appropriate temperature and humidity indoors
Suction out secretions from the trachea and replace the suction tube every time to prevent respiratory infections
The casing with air bag should be properly inflated and deflated for five minutes.
Swallowing training:
Neck dissection postoperative care