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Topics in Postsurgical Head and Neck Cancer Dysphagia - Laryngectomy and Transoral Surgery

About This Course
This course is pre-recorded so you can take the  course at your own pace. If you have already registered, please access  your CE videos & documents within "MY PROFILE" and then "GROUPS" (you will need to sign in to access).

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*PLEASE NOTE- you MUST sign into your online account to register for CE courses. Click here if you need to create an online account. 


Session Preview
This session will draw on 25 years of a tertiary referral head and neck practice incorporating specialist dysphagia, FEES and post laryngectomy problem solving clinics to outline my philosophy for dealing with complex swallow problems.


Tim McCulloch, MD, FACS

Dr. Timothy McCulloch is the Professor and Chairman of the Division of Otolaryngology Head & Neck Surgery at the University of Wisconsin - Madison in the Department of Surgery.  The Division of Otolaryngology Head & Neck Surgery supports a highly successful research and clinical enterprise.  Dr. McCulloch completed Medical School and a Master’s program in Physiology at the University of Nebraska, his Surgery and Otolaryngology training at the University of Washington, in Seattle and has been a Faculty member at three academic medical centers (University of Iowa, University of Washington and The University of Wisconsin) spanning more than 30 years in academic medicine. During this time his research has focused on dysphagia, head and neck cancer care, skull base disease, voice and related disorders.  His work has incorporated both animal and human studies with significant contributions addressing the neuromuscular control of swallowing and voice.  His most recent work has centered on the use of HRM (high-resolution manometry) to increase our understanding of both normal and disordered swallowing. This is accomplished through interactive analysis of data obtained from pharyngeal pressure recordings, intramuscular electromyography, voice and respiratory data and video-fluorography of swallowing tasks, using computer models and artificial neural networks to address both basic science and clinical questions.  Addition work continues on modeling laryngeal function after vocal fold paralysis and surgical intervention with thyroplasty.  And work has begun addressing pharyngeal physiology of sleep disordered breathing.  Dr. McCulloch is an NIH funded researcher with over 120 peer reviewed public ations and has contributed to more than 20 book chapters. He also has an active clinical practice seeing over a 1000 patients each year. 

  Kate Hutcheson, PhD, CCC-SLP, BCS-S
Dr. Kate Hutcheson is an Associate Professor in the Department of Head and Neck Surgery, Section of Speech Pathology and Audiology with dual appointment in the Division of Radiation Oncology at the University of Texas MD Anderson Cancer Center. She serves as Deputy Director of the Clinical Research Program in Head and Neck Surgery. Dr. Hutcheson is a certified speech-language pathologist, a Board Certified Specialist in Swallowing and Swallowing Disorders (BCS-S), and holds a Doctorate Degree in Epidemiology. She maintains an active clinical practice and research program. She has authored over 120 journal articles with funding support from the National Institutes of Health, Patient Centered Outcomes Research Institute, the MD Anderson Institutional Research Grant Award program, and the CPRIT UT Health Innovation Training Program. She is an accomplished clinician and educator who lectures nationally and internationally on radiation associated dysphagia and head and neck cancer rehabilitation. 



Tim McCulloch, MD, FACS
Financial Disclosure:
Dr. McCulloch is employed by the University of Wisconsin and receives a salary.
Non-Financial Disclosure: No relevant non-financial disclosure exists.

Kate Hutcheson PhD, CCC-SLP, BCS-S
Financial Disclosure: Dr. Hutcheson is employed by the MD Anderson Cancer Center and receives a salary. She also receives a research grant from NCI and NIDCR for being an investigator in cancer and oral health. Dr. Hutcheson receives a research contract from PCORI for being an investigator in health. Dr. Hutcheson also receives a speaker free from MedBridge, Inc.
Non-Financial Disclosure: No relevant non-financial disclosure exists.



The presentation is approximately one hour and fifteen minutes.


Learning Objectives
After completing this session you will be able to:

  • Identify the changes in anatomy post laryngectomy which may affect swallow function
  • Identify features of swallowing difficulty after laryngectomy.
  • Describe impact of swallowing difficulty on quality of life post laryngectomy. 
  • Describe the impact of surgical choices on swallow outcomes after robotic surgery.
  • Identify the nature of swallowing impairment following trans oral robotic surgery.
  • Understand the quality of life features of swallowing difficulty after laryngectomy surgery. 


Certificate of Completion

  • You will receive your certificate for this course upon completion of the online Learning Assessment. You will find your certificate within your profile under "Professional Development". 
  • Your ASHA CEU credits will be processed through the American Board of Swallowing and Swallowing Disorders. Reporting dates are the following: May 30th, June 30th, July 31st and September 30th. After September 30th, reporting dates will be at the end of every quarter

This course is offered for .10 ASHA CEUs (Advanced Level; Professional area). 


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