I just got back from M. D. Anderson and it looks like I am having surgery to take out all the lymph nodes on the left side. They will then do a flap to cover the area operated on with a flap from the chest. In addition, I am having a msndibulectomy on the right side to remove all the dead bone that has occurred from the radiation I received. I have also now developed a malocclusion that cannot be fixed because putting in a fibula flap would be too difficult due, probably, to the fact that I already have a flap there that replaced half my tongue. I am still working on my swallowing but I have developed some ground glass opacities seen on the CT of yhe chest. I have not developed aspiration pneumonia. The surgery will be about four to five hours. I am still working on my swallowing, but I am scared that I will not be able to get rid of the feeding tube. This is a big quality of life issue for me, since I enjoy going out to dinner with my wife and travel that we do. I wanted to keep everyone informed and get some advice from all.

4-2014 SCC BOT rt. 2 nodes
6-2014-8-2014 Baylor Sammons Dallas,
70 gy. Carboplatin Taxol
Peg tube 5/2014-present
biopsy(10/2014) mucoepidermoid carcinoma-not SCC.
11/10/2014 M.D. Anderson radical neck dissection hemiglossectomy flap rt. lower arm
1/2015 3xs-CDDP DOCATAXEL
2/2015 CT clear- ORN right jaw.
8/2015 CT. Lt. neck two nodes,right jaw ORN worsening. Biopsy- MEC.
Surgery 9/28/2015 lt. neck dissection-remove nodes and chest flap resection. Rt. jaw dead bone removal.