Treatment FAQ

head neck cancer finished treatment how long before swelling goes down

by Ara Weissnat Published 2 years ago Updated 2 years ago
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Most symptoms will start to get better about 2 to 4 weeks after you finish treatment.Jun 7, 2022

Medication

After surgery for head and neck cancer, it is common to have some swelling in your face or neck. This usually goes away within a few weeks. You are at greater risk of developing long-term swelling if:

Procedures

Recovery from head and neck cancer is not always possible. If the cancer cannot be cured or controlled, the disease may be called advanced or terminal. This diagnosis is stressful, and for most people, advanced cancer is difficult to discuss.

Therapy

Speech therapy usually continues after the patient returns home. Eating may be difficult after treatment for head and neck cancer. Some patients receive nutrients directly into a vein after surgery or need a feeding tube until they can eat on their own.

Self-care

How are Head and Neck Cancers Treated? The treatment plan for an individual patient depends on a number of factors, including the exact location of the tumor, the stage of the cancer, and the person’s age and general health.

Nutrition

How long does swelling last after head and neck cancer surgery?

Is recovery from head and neck cancer possible?

What happens after speech therapy for head and neck cancer?

How are head and neck cancers treated?

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How do I reduce swelling in my neck after radiation?

Compression: Compression bands or garments are worn around the chin, face and head to provide gentle support to the soft tissues. The compression lessens swelling and helps the body reabsorb the extra fluid. Exercise: Strengthening of area muscles and increasing range of motion.

Does neck lymphedema go away?

Head and neck lymphedema occurs when the body is unable to transport fluid due to damage to the lymphatic system. It happens when scarring from a surgery blocks lymphatic vessels in the neck or the lymphatic system is damaged by radiation therapy. Because the fluid isn't easily moved, it rarely recedes on its own.

How long does it take to heal from head and neck radiation?

Your skin will gradually heal after you finish treatment, but this often takes 3 to 4 weeks. Sometimes, skin reactions get worse during the week after you finish treatment. If this happens, call your doctor or nurse. Your nurse will apply special dressings (bandages) or creams, if needed.

What happens after head and neck cancer treatment?

Common side effects from head and neck surgery include temporary or permanent loss of normal voice, impaired speech, and hearing loss. People often have difficulty chewing or swallowing after cancer surgery, which may require a tube inserted in the stomach for feeding purposes.

How long does lymphedema swelling last?

Lymphedema can develop soon after surgery or months or years later. Some mild swelling after surgery is normal. This swelling may last for up to 6 weeks. It's often temporary and will gradually go away.

Is lymphedema swelling permanent?

Left untreated, lymphedema can worsen and cause severe swelling and permanent changes to the tissues under the skin, such as thickening and scarring.

How long does swelling last after neck dissection?

For most people, the swelling starts to go away 4 to 5 days after surgery. You may have numbness in your neck and ear. Your lower lip or shoulder may feel weak. For most people, these problems go away in 6 to 12 months.

How long does it take for a tumor to shrink after radiation?

At the same time, if a cell doesn't divide, it also cannot grow and spread. For tumors that divide slowly, the mass may shrink over a long, extended period after radiation stops. The median time for a prostate cancer to shrink is about 18 months (some quicker, some slower).

What happens after radiation is completed?

Radiation therapy usually does not have an immediate effect, and it could take days, weeks or months to see any change in the cancer. The cancer cells may keep dying for weeks or months after the end of treatment. It may be some time before you know whether the radiation therapy has controlled the cancer.

Can you recover from head and neck cancer?

Advanced stage patients (stage 3 and 4) receive more aggressive treatment and have lower cure rates, with the exception of patients with HPV-related head-and-neck cancers. Their 5-year cure rates are close to 90 percent.

How long does it take for lymph nodes to heal after radiation?

You may start to notice side effects about 2 weeks after you start treatment. They may get worse during treatment, but they will slowly get better over several weeks after you finish treatment.

What causes swelling in cancer patients?

Chemotherapy-related, or cancer swelling: It is a vascular reaction that causes an increased ability for fluid in the cells to "leak" into the layers of the skin, resulting in swelling. This happens much less often than hives alone. The fluid retention causes swelling generally in the tongue, lips, or eyelids.

How long does it take for head and neck cancer to go away?

The patient may look different after surgery, and the face and neck may be swollen. The swelling usually goes away within a few weeks.

What is the treatment for head and neck cancer?

Treatment for head and neck cancer can include surgery, radiation therapy, chemotherapy, targeted therapy, or a combination of treatments.

How long does swelling last after lymph node removal?

The swelling usually goes away within a few weeks. However, if lymph nodes are removed, the flow of lymph in the area where they were removed may be slower and lymph could collect in the tissues, causing additional swelling; this swelling may last for a long time.

What happens if you get radiation on your head?

Patients who receive radiation to the head and neck may experience redness, irritation, and sores in the mouth; a dry mouth or thickened saliva; difficulty in swallowing; changes in taste; or nausea. Other problems that may occur during treatment are loss of taste, which may decrease appetite and affect nutrition, ...

Why does my neck feel numb after a laryngectomy?

After a laryngectomy (surgery to remove the larynx) or other surgery in the neck, parts of the neck and throat may feel numb because nerves have been cut. If lymph nodes in the neck were removed, the shoulder and neck may become weak and stiff.

Can you open your mouth wide after a chin surgery?

The jaw may feel stiff, and patients may not be able to open their mouth as wide as before treatment.

What is the lymph system?

The lymph system is made up of lymph nodes and vessels. They run throughout the body to drain extra fluid and return it to the blood near the heart. Lymph nodes filter viruses, dying cells, foreign matter, and bacteria to fight infection. The lymph system also recycles proteins throughout the body.

What is lymphedema?

Lymphedema is a chronic swelling that happens when lymph fluid is not moving well through the lymph system. It starts to build up in the tissues and leads to swelling.

What causes lymphedema in head and neck cancer patients?

If you have head and neck cancer, lymphedema can happen in any part of the head, neck, and face. There are a large number of lymph nodes in these areas. Lymphedema can happen after cancer treatment because parts of the lymph system have been removed or harmed by surgery or radiation.

How is it diagnosed?

The more lymph nodes removed or harmed during treatment, the greater the chance of having lymphedema. It is normal to have swelling during and shortly after treatment that gets better on its own; this is not lymphedema. Your provider will know the difference between normal swelling and lymphedema.

What are the symptoms?

Symptoms of lymphedema in the head and neck patient vary, depending on where the edema is and how severe it is. Symptoms can include:

What are the treatments for head and neck cancer?

Overall, the main treatment options are surgery, radiation therapy, chemotherapy, and targeted therapy.

What is standard of care for head and neck cancer?

This section explains the types of treatments that are the standard of care for head and neck cancer. “Standard of care” means the best treatments known. When making treatment plan decisions, you are encouraged to consider clinical trials as an option. A clinical trial is a research study that tests a new approach to treatment.

What is the difference between a radiation oncologist and a surgical oncologist?

Radiation oncologist: A doctor who specializes in treating cancer using radiation therapy. Surgical oncologist: A doctor who treats cancer using an operation. Reconstructive/plastic surgeon: A doctor who specializes in reconstructive surgery, which is done to help repair damage caused by cancer treatment.

Is proton therapy a standard treatment for head and neck cancer?

At this time, proton therapy is not a standard treatment option for most types of head and neck cancer. See the Latest Research section for more information. When radiation therapy is given using implants, it is called internal radiation therapy or brachytherapy.

Can larotrectinib be removed?

Larotrectinib is approved as a treatment for head and neck cancer that is metastatic or cannot be removed with surgery and has worsened with other treatments.

Can head and neck cancer be cured?

Treatment overview. Many cancers of the head and neck can be cured, especially if they are found early. Although eliminating the cancer is the primary goal of treatment, preserving the function of the nearby nerves, organs, and tissues is also very important.

Does radiation cause a sore throat?

In addition, radiation therapy to the head and neck may cause redness or skin irritation in the treated area, swelling, dry mouth or thickened saliva from damage to salivary glands, bone pain, nausea, fatigue, mouth sores, and sore throat. Many of these side effects go away soon after treatment has finished.

What is the importance of regular follow up after head and neck cancer?

What Does it Involve? Regular follow-up care is very important after treatment for head and neck cancer to make sure that the cancer has not returned, or that a second primary (new) cancer has not developed. Depending on the type of cancer, medical checkups could include exams of the stoma, if one has been created, and of the mouth, neck, ...

What is the goal of head and neck cancer treatment?

The goal of treatment for head and neck cancers is to control the disease, but doctors are also concerned about preserving the function of the affected areas as much as they can and helping the patient return to normal activities as soon as possible after treatment.

Does smoking cause neck cancer?

Research has shown that continued smoking by a patient with head and neck cancer may reduce the effectiveness of treatment and increase the chance of a second primary cancer.

Can you get a second primary cancer in your neck?

People who have been treated for head and neck cancers have an increased chance of developing a new cancer, usually in the head, neck, esophagus, or lungs. The chance of a second primary cancer varies depending on the site of the original cancer, but it is higher for people who use tobacco and drink alcohol.

Can you eat after neck cancer surgery?

Eating may be difficult after treatment for head and neck cancer. Some patients receive nutrients directly into a vein after surgery or need a feeding tube until they can eat on their own. A feeding tube is a flexible plastic tube that is passed into the stomach through the nose or an incision in the abdomen.

Is there a free patient page for head and neck cancer?

The American Cancer Society has developed a Free Patient Page for head and neck cancer patients, who are finished with treatments, and need guidance on how to best manage issues that can occur after treatment.

How to treat head and neck lymphedema?

In response, Lewin and her colleagues developed a treatment regimen to manage head and neck lymphedema using a method that combines massage, compression bandaging, skin care techniques and therapeutic exercises.

Why does head and neck lymphedema occur?

Head and neck lymphedema occurs when the body is unable to transport fluid due to damage to the lymphatic system. It happens when scarring from a surgery blocks lymphatic vessels in the neck or the lymphatic system is damaged by radiation therapy. Because the fluid isn't easily moved, it rarely recedes on its own.

Is lymphedema in the head and neck a complication?

While a common complication of some cancer treatments, lymphedema in the head and neck region isn't well understood or managed.

What happens to the skin after a neck surgery?

After your operation, the skin in the area becomes tighter and thicker as the scar heals. Radiotherapy given after surgery can also cause tightness in the skin and tissue in the area that has been treated. As the scar heals, you may have a feeling of pins and needles as the nerves repair. Your neck may also be more sensitive to touch, heat or cold.

How to help a stiff neck after radiotherapy?

If you have neck stiffness after radiotherapy, you will need to do neck exercises for the rest of your life . Your physiotherapist may show you exercises to improve movement and reduce pain. Doing these exercises regularly can help prevent your shoulder becoming stiff.

How to help a neck and shoulder after surgery?

Neck and shoulder exercises. Muscles around the head and neck can become overworked and tight after surgery. Your physiotherapist will assess them and show you exercises that can help. Stretches and massage may help reduce tension and pain. They work best when done regularly.

What to do if your neck is changing?

Coping with neck and shoulder changes. If treatment has affected your neck or shoulders, your doctor may arrange tests to find out why. This is so they can give you the right treatment. If needed, they can prescribe painkillers and refer you to a physiotherapist.

How to heal a scar on the face?

Once the scar tissue has healed, firmly massage the area regularly. Massage the area around a scar, using a non-perfumed oil or cream, to help relieve tightness in the skin.

What to do if your neck hurts and doesn't get better?

Tell your doctor if your pain does not get better. They can increase the dose or change your painkillers. If the pain is caused by tightness in your neck or shoulder, physiotherapy and exercise may also help.

How to get your neck and shoulders to move?

You can do things to help your posture. Look at yourself in the mirror to check the position of your head and shoulders. Sit up or stand up straight with your shoulders back but relaxed. When you sit, make sure your lower back is supported .

How does head and neck cancer affect your body?

Self-Esteem and Body Image. Head and neck cancer treatments might affect the way you feel about yourself. Surgery, as well as complications like lymphedema and weight loss, can change the way you look. It might be hard to handle having trouble with the way you eat, hear, and talk because of treatment complications.

What are the complications of head and neck cancer?

Head and neck cancers start in or near your lips, tongue, tonsils, mouth, nose, sinuses, throat, salivary glands, or voice box. Surgery, radiation, and other treatments can fight the cancer in these areas and protect the important jobs they do. But some therapies can also cause long-term health ...

How to keep your jaw working?

A speech language therapist can teach you exercises that can help. But you need to do them every day. Stretching exercises and devices that open your mouth can also help keep your jaw working the way it should. For some people, plastic surgery can rebuild bones or tissues to make swallowing easier.

What are the symptoms of a swollen jaw?

Ask your doctor if your treatment could cause this and what you can do to make it less likely. Chronic pain. Some people have pain after treatment that lasts a long time, particularly in the neck, jaw, or shoulders.

How to prevent lymphedema?

Ask your doctor what you can do to prevent lymphedema. Watch for any swelling, tightness, heaviness, or fullness in your face, chin, neck, and shoulders. Notice if these feelings start inside your mouth, nose, throat, and ears, too.

How to keep your mouth clean after cancer treatment?

Ask your dentist what you can do to keep your mouth clean and healthy during and after treatment. Regular brushing and flossing can help. You may also get a fluoride rinse or gel to put on your teeth. After cancer treatment, it’s important to see your dentist regularly so they can treat any problems that come up ASAP.

How does a doctor help you with cancer?

Your doctor can work with you to plan treatment that saves as much of your healthy tissues as possible while getting rid of the cancer. As you make your treatment decisions, be sure to talk with your doctor about how each treatment can affect your body.

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