The Evolving Swallow: Managing the Effects of Surgery, Chemo, and Radiation

This is a recorded webinar.

For SLPs who treat head and neck cancer patients, treating dysphagia is often an evolutionary battle that starts before patients undergo cancer treatment and persists long after patients have received their final cancer treatments. The clinician’s greatest challenge is understanding, preparing the patient for, and addressing the cancer treatment’s extensive list of short and long-term effects on the patient’s swallow function. This two-hour webinar will highlight the most current, evidence-based practices for providing effective, patient-centered dysphagia interventions in the head and neck cancer patient population.
The Evolving Swallow: Managing the Effects of Surgery, Chemo, and Radiation

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Course Description


Refunds will not be issued for online webinars

Reporting to ASHA:

This course is offered for 0.2 ASHA CEUs (2 hours), Intermediate Level, Professional Area.

If you wish to have your participation in this course reported to ASHA, you must include your ASHA number when registering for the course. If you do not have an ASHA number, but you would like your participation reported to ASHA, type “ REPORT” in the field requesting your ASHA number.  If you do not wish to have your participation submitted to ASHA, type “NO” in the field requesting your ASHA number. Once the course post-test has been completed your material will be ready for us to submit.

If you have any questions, please email or call 877-390-1887.

Learning Objectives

  • Interpret pertinent cancer treatment information during medical chart review.
  • Describe Radiation Fibrosis Syndrome, how it differs from fibrotic scars, and the rehabilitation principles for treating a radiation-induced dysphagia patient.
  • List clinical swallowing assessment tools and resources appropriate for head and neck cancer patients.
  • Identify dysphagia interventions for head and neck cancer patients most supported by current research in the field of SLP and cancer rehabilitation.
  • List appropriate multi-disciplinary referrals relevant to function and quality of life for head and neck cancer patients with dysphagia based on the latest American Cancer Society Head and Neck Cancer Survivorship Care Guidelines.


00:00-00:20    The Importance of the HNC Patient Medical Chart Review

00:20-00:50    Radiation Fibrosis Syndrome’s Impact on Dysphagia Rehabilitation 

00:50-01:10     Assessing the HNC Patient’s Swallow Function

01:10-01:30    “Evidence-based” HNC Dysphagia Interventions 

01:30-01:45    The “Whole-System Approach” to HNC Patients 

01:45-02:00    Summary and Post-Test

Webinar Notice:

Successful participation in this course includes completion of the post-test with a score of 80% or higher, then participants will automatically receive a course completion certificate. You may re-take the post-test as many times as you'd like. If you would like to have your participation reported to ASHA, it must be indicated on the registration form. Participation will be reported to ASHA on a quarterly basis following successful completion of the course. Quarters run as follows: Jan-March, April-June, July-September, and October-December. 

ASHA CE Providers have up to 45 days from the course's end date to send your participation to the ASHA CE Registry. The ASHA CE Registry processing time usually takes one week. During periods of heavy volume, processing time may be longer.

If you have any questions, please email or call 877-390-1887.


  • Megan Nosol

    Megan Nosol

    Megan holds a master’s degree in Speech-Language Pathology from the University of North Carolina at Chapel Hill. She received training at UNC Hospital's ENT Clinic, where Brian supervised her work with head and neck cancer patients. Since graduating from the UNC's SLP program in 2013, Megan has been a clinician in the skilled nursing, outpatient rehabilitation, and non-profit organization settings. Her research interest is Radiation Fibrosis Syndrome (RFS) and its effects on the swallow function as it applies to rehabilitation science. Currently, Megan is a SLP at STEPS for Recovery, an outpatient clinic in Cary, where she treats adults with an array of communication disorders and dysphagia. She is the co-founder of the ARK-J Program Trismus Intervention Certification Course and a board member of the non-profit organization, Lary's Speakeasy, which provides laryngectomy supplies, support, and educational resources to laryngectomees and their caregivers. In 2017, Megan was the guest speaker for the "ABCs of HNC: Important Considerations for Your Patient with Head and Neck Cancer" show on the popular SLP podcast, Swallow Your Pride. She is also the instructor of the "Evolving Swallow: Managing the Effects of Chemo, Radiation, and Surgery" webinar via Carolina Speech Pathology. Additionally, Megan is also the creator of the website,, which is a resource for patients and caregivers of communication and swallowing disorders. Financial Disclosure: Megan Nosol receives an honorarium from Vitae SLP Services LLC for instructing the ARK-J Program Trismus Intervention Certification Course and she receives an honorarium from Carolina Speech Pathology for instructing the Evolving Swallow webinar. Non-Financial Disclosure: Megan Nosol has no non-financial disclosures to report.