Treatment FAQ

what to expect after head and neck cancer treatment

by Savannah Pacocha Published 2 years ago Updated 2 years ago
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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.

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.

Full Answer

What happens after speech therapy for head and neck cancer?

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.

What are the side effects of radiation treatment for neck cancer?

After treatment is completed, follow-up appointments will be scheduled so that your radiation oncologist can make sure your recovery is proceeding normally. Your radiation oncologist, in concert with other members of your team, may order additional diagnostic tests. Reports on your treatment may be sent to the other doctors helping treat your cancer. Continued follow-up in …

Is recovery from head and neck cancer possible?

Sep 14, 2017 · Numbness. With any cancer diagnosis, people often have a lot of anxiety and questions regarding mortality, how life may change for you and your family, etc. With head and neck cancer, there may be another layer of anxiety, because post-treatment, the way you interact with the world could permanently change.

What are the treatment options for head and neck cancer?

What to Expect After Treatment. After treatment, patients should follow-up with their doctors on a regular basis. Patients should visit their head and neck specialist on a regular schedule (or earlier if they have any concerning symptoms). This allows doctors to monitor the patient for any sign that the cancer has returned.

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How long does it take to recover from head and neck cancer?

Long-term effects begin during, or shortly after, treatment and do not go away in the 6 months after treatment. They may go away eventually on their own. Symptoms may slowly get better over 1 or 2 years after treatment ends, or even longer. Sometimes long-term effects are permanent.

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

Your skin will gradually heal after you finish treatment, but this often takes 3 to 4 weeks.Dec 12, 2018

Can you recover from head and neck cancer?

Their 5-year cure rates are close to 90 percent. But even those who go into remission may have to contend with a constellation of difficult side effects. The head and neck area is “like a fine-tuned machine,” said Dr. Keith Eaton, a medical oncologist at SCCA and Fred Hutch who specializes in lung cancer and HNC.Apr 8, 2016

How long does it take to get back to normal after cancer treatment?

Most cancers that are going to come back will do so in the first 2 years or so after treatment. After 5 years, you are even less likely to get a recurrence. For some types of cancer, after 10 years your doctor might say that you are cured. Some types of cancer can come back many years after they were first diagnosed.Jul 6, 2020

How long do head and neck radiation side effects last?

Side effects usually begin to develop after about 2 weeks of radiotherapy. They may continue for 7 to 10 days after treatment ends, before slowly improving.

What happens when lymph nodes are removed from neck?

If you have had lymph nodes removed, there is a risk of developing swelling later on. This swelling is called lymphoedema (limf-o-dee-ma). The lymph nodes are part of your body's drainage system. Removing them can affect the natural circulation and drainage of tissue fluid in this area.

What is the success rate of radiation therapy for head and neck cancer?

Definitive chemoradiotherapy (dCRT) is a standard-of-care treatment for locoregional advanced head and neck squamous cell cancer (HNSCC). A simultaneous treatment by chemotherapy and radiotherapy turned out to be the most effective option and leads to an improvement of the overall survival (OS) of around 5% [2].Jan 6, 2020

How long can you live with head and neck cancer?

The prognosis of patients with recurrent or metastatic head and neck squamous cell cancer is generally poor. The median survival in most series is 6 to 15 months depending on patient- and disease-related factors.Jun 2, 2021

How long can you live with Stage 4 head and neck cancer?

For a patient with stage IV cancer, age must also be considered to prognose survival. For a patient who is 67 years or older, the expected median survival is a little more than 1 year. If this patient were younger than 67 years, then the expected median survival would be about 2 years.

What are signs that cancer has returned?

A distant (metastatic) recurrence means the cancer has traveled to distant parts of the body, most commonly the bones, liver and lungs. Signs and symptoms include: Persistent and worsening pain, such as chest, back or hip pain. Persistent cough.Jan 21, 2021

What should you not do after chemo?

9 things to avoid during chemotherapy treatmentContact with body fluids after treatment. ... Overextending yourself. ... Infections. ... Large meals. ... Raw or undercooked foods. ... Hard, acidic, or spicy foods. ... Frequent or heavy alcohol consumption. ... Smoking.More items...•May 5, 2021

How do you tell if your cancer is gone?

How Do You Know You're in Remission? Tests look for cancer cells in your blood. Scans like X-rays and MRIs show if your tumor is smaller or if it's gone after surgery and isn't growing back. To qualify as remission, your tumor either doesn't grow back or stays the same size for a month after you finish treatments.Jul 18, 2020

How often should I do a follow up scan?

Standard Follow-up Schedule. For the first year, go every 1-3 months. For the second year, go every 2-6 months. For the third to fifth year, go every 4-8 months. After five years, start going once annually. Doctors may select a scan to be performed in the first 6 months after treatment.

What kind of test is needed for cancer?

This will depend on the type and location of the cancer. Imaging could range from something as simple as a quick chest X-ray to more extensive tests such as a CT, MRI, or PET scan. If something suspicious comes up, a patient may need a biopsy .

Should I follow up with my doctor after a cancer treatment?

After treatment, patients should follow-up with their doctors on a regular basis. Patients should visit their head and neck specialist on a regular schedule (or earlier if they have any concerning symptoms). This allows doctors to monitor the patient for any sign that the cancer has returned.

How long does it take for a sore throat to go away after anaesthesia?

You may have some throat discomfort from the anaesthetic tube. This kind of discomfort or irritation usually lasts less than 24 hours. You may also have a sore throat as a result of surgery for pharyngeal or laryngeal surgery; this is usually short-term.

How long does it take for pain to go away after surgery?

You will have some pain and discomfort for several days after surgery, but you will be given pain-relieving medicines to manage this. You may be given tablets, or you may have patient-controlled analgesia (PCA), which delivers a measured dose of pain relief through a drip when you press a button.

Can you breathe through your nose after tracheostomy?

If your mouth, tongue or throat is expected to be swollen after the surgery, it could make breathing difficult. The surgeon may discuss inserting a temporary tracheostomy in your neck to allow you to breathe (see Breathing changes for more information). Surgery to the nasal cavity may change the way you breathe through your nose. This may be temporary or longer-lasting.

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 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.

What are the treatments for head and neck cancer?

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

What is a speech pathologist?

Speech-language pathologist (SLP): This health care professional specializes in communication and swallowing disorders. An SLP helps patients regain their speaking, swallowing, and oral motor skills after cancer treatment that affects the head, mouth, and neck.

What is cancer care team?

Cancer care teams include a variety of other health care professionals, such as physician assistants, pharmacists, counselors, and others. It is extremely important for this team to create a comprehensive treatment plan before treatment begins.

What is the name of the doctor who specializes in the ear, nose, and throat?

Maxillofacial prosthodontist: A specialist who performs restorative surgery in the head and neck areas. Otolaryngologist: A doctor who specializes in the ear, nose, and throat. Oncologic dentist or oral oncologist: Dentists experienced in caring for people with head and neck cancer.

What is clinical trial?

Clinical trials can test a new drug , a new combination of standard treatments, or new doses of standard drugs or other treatments. Clinical trials are an option to consider for treatment and care for all stages of cancer. Your doctor can help you consider all your treatment options.

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 happens when you chew food?

Chewing your food breaks it down. As you chew, the food and saliva form a ball called a bolus. When you swallow, your tongue pushes the bolus to the back of your mouth. Then, a reflex takes over and the back of your tongue pushes the food into your esophagus (food pipe).

How to get rid of saliva in mouth?

Rinse your mouth often during the day with a mixture of 1 liter (about 4.5 cups) of water, 1 teaspoon of salt, and 1 teaspoon of baking soda. You can sip, rinse, or gargle with the mixture.

What is the structure of swallowing?

Structures involved in swallowing. Many muscles and nerves work together to help you swallow (see Figure 1). When you eat and drink, the food and liquids mix with your saliva. Your saliva makes the food soft and moist. Chewing your food breaks it down. As you chew, the food and saliva form a ball called a bolus.

How to do the Mendelsohn swallow maneuver?

Swallow normally, but when you feel your throat and Adam’s apple move up, pause for 2 seconds before you relax at the end of the swallow. To pause during the swallow, you can pretend you’re holding your breath in the middle of the swallow for 2 seconds before relaxing.

What is it called when food sticks in your lungs?

Both of these things can be dangerous. When food or liquid enters your airway or lungs, it’s called aspiration .

How to help swallow after radiation?

Teach you exercises to stretch and strengthen the muscles involved in swallowing. Look for any changes in your ability to swallow as you go through radiation therapy. Help you keep your ability to swallow after your treatment is done to prevent long-term or late-onset changes.

Why is it so hard to swallow?

Your salivary glands may not make enough saliva. This can make it hard to swallow because your mouth is too dry. The muscles in your tongue and the back of your throat may not be able to move as well. This can make it harder to push food or liquids down your throat and open up your esophagus.

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