6.7.6: 6. Clinical Evaluation - History and Examination
- Page ID
- 18389
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Objectives
- Select appropriate surgery
- Avoid unnecessary surgery
- Avoid embarking on surgery that is beyond the scope of a surgeon
Primary tumour
- Site
- Hypopharynx (subsite: lateral, medial pyriform, postcricoid)
- Supraglottis
- Glottis
- Vallecula/BOT
- Distant extent (may require flap reconstruction, oesophagectomy)
- T-stage
- Vocal cord mobility
- Cartilage invasion
- Extension to oropharynx, oesophagus
- Mobility related to
- Prevertebral tissues
- Thyroid cartilage
- Laryngeal dysfunction: Stridor, voice, swallowing, aspiration
Cervical nodes
- Palpate the neck
- Consider Ultrasound
Synchronous Primary (upper aerodigestive tract, lungs)
- Upper aerodigestive tract, oesophagus, lungs
- History and office examination
- Panendocopy
- CXR / CT / PET