Mr. Seyer had a partial glossectomy and right neck dissection on 9/7 . Describe these surgical procedures. How may these procedures affect him nutritionally?
What will be an ideal response?
• Partial glossectomy:
- This is the removal of part of the tongue and then sewing the remaining portion back together or using a small skin graft to cover the resected area (which is then sewn into place). During this procedure, a tracheotomy is used to facilitate breathing during the procedure.
• Right neck dissection:
- This involves an incision into the neck to remove the lymph nodes containing cancer cells. Special care must be taken in order to avoid important blood vessels and nerves.
• Nutritional concerns:
- Mr. Seyer will not be able to swallow until cleared by the SLP and will need nutritional support
- May incur issues with pain, altered tastes, difficulty chewing and swallowing, dyspnea, and nausea/vomiting which all may lead to lower oral intake and diminished appetite.
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