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#56021 12-29-2004 07:18 AM
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My husband Ron finished radiation treatment on this throat about 6 weeks ago. Halfway during treatment he had to have a trach put in because of severe bleeding and the trach stayed in until he was finished with the radiation. There is now a small indentation and scar where his trach was. We've noticed that over the last couple of days the front of his throat is puffy, right under his chin and down to where the trach scar is. I hate to sound mean, but it looks like he has a Turkey's neck right now. It doesn't hurt him, but he sure doesn't like it. He's telling me he's going to buy a bunch of turtle neck sweaters to hide it. Is this just a part of the healing process? I've read about other people experiencing a hardness in the neck, but haven't come across this one. He has been working more lately (more than he should in my opinion)and his job is physical, could that be part of the reason? Just wondering if anyone else has experienced this?

Thanks, Shelley


Caregiver to husband, Ron. Throat cancer, Stage II. No Chemo or Surgery. Completed 35 Radiation Treatments in November 2004.
#56022 12-29-2004 09:21 AM
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Shelley,

It is normal. It's called lymphodemia (spelling). It is the lymph fluid looking for a place to escape. The normal channels or pathways have been fried by the radiation.

I had it too. Massage, massage, massage. The lymph needs to find new pathways and massage is the only way to "teach" it how to find them.
I thought I was doomed to have a puffy turkey waddle the rest of my life but it really worked.


SCC 1.6cm Right Tonsil 10/3/03, 1 Node 3cm, T1N2AM0, Tonsil Removed, Selective Neck Disection, 4 Wks Induction Chemo (Taxol,Cisplatin), 8 Weeks Chemo/Radiation (5FU,Hydroxyurea,Iressa), IMRT x 40, Treatment Complete 2/13/04.
41 Years Old At Diagnosis
#56023 12-29-2004 10:39 AM
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Thanks so much for the info! I'm also wondering if the puffiness is worse in the morning when he wakes up because the fluid was just sitting there all night. When you say massage, is there any special technique you use that works the best?

Thanks again,

Shelley


Caregiver to husband, Ron. Throat cancer, Stage II. No Chemo or Surgery. Completed 35 Radiation Treatments in November 2004.
#56024 12-29-2004 11:23 AM
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Shelley:
Down South here we call it "Bull Frog Throat", I've had it for a number of months.
Good info about the massage thing. Gives me an excuse to go see my massage therapist..
Darrell


Stage 3, T3,N1,M0,SCC, Base of Tongue. No Surgery, Radiationx39, Chemo, Taxol & Carboplatin Weekly 8 Treatments 2004. Age 60. Recurrence 2/06, SCC, Chest & Neck (Sub clavean), Remission 8/06. Recurrence SCC 12/10/06 Chest.
#56025 12-29-2004 11:30 AM
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It's intereting that you mentioned the puffiness under the chin. I just developed a slight swelling along with some redness. I am taking antibotics for it due to the redness, but am curious on the massage technique too. How long and how often do I massage it?

I see my surgeon next week for a 2 month checkup. Hopefully, it's only lymphodemia and I can massage it out.

Thanks,

David


T1N0M0 Partial Glossectomy 2/04, Recurrance w/ another P.G. 5/04. IMRTx33 7/04-9/04. T2N2M0 recurrance in throat, 11/04.
2nd tumor 1/06/05, Chemo 1/11-05 Died 02-16-05 Wife: Brenda
#56026 12-29-2004 11:52 AM
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It is called a lymphatic drainage massage technique and is used by many physical therapists. I tried it for a while and it helped. My ENT says it is common to have the puffiness under the chin for the rest of my life. I hope he is wrong and some of you have had it go away.

Ed


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
#56027 12-30-2004 05:17 AM
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Shelley,

My Oncol set me up with a massage thearapist for lymphodemia and my insurance paid for 100%. It took three sessions for me to learn how to do it correctly. It is really easy and takes about 20 min a day. I dont need to do it every day any more as my lymph fluid has found and are using the "new pathways".

Happy and Safe,
Robert Hamilton


SCC 1.6cm Right Tonsil 10/3/03, 1 Node 3cm, T1N2AM0, Tonsil Removed, Selective Neck Disection, 4 Wks Induction Chemo (Taxol,Cisplatin), 8 Weeks Chemo/Radiation (5FU,Hydroxyurea,Iressa), IMRT x 40, Treatment Complete 2/13/04.
41 Years Old At Diagnosis
#56028 12-30-2004 05:53 AM
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Hi Shelley, I still have puffiness in my left cheek (rad. neck dissection side), even after treatments for lymphodema. The neck scar is indented in one part and puffy in the other, guess that is forever. I LOVE turtleneck weather!!!God Bless, Carol


Diagnosed May 2002 with Stage IV tongue cancer, two lymph nodes positive. Surgery to remove 1/2 tongue, neck dissection, 35 radiation treatments. 11/2007, diagnosed with cancer of soft palate, surgery 12/14/07, jaw split. 3/24/10, cancer on tongue behind flap, need petscan, surgery scheduled 4/16/10
---update passed away 8-27-11---
#56029 12-30-2004 07:00 AM
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I also had puffiness under my chin for a long time after treatment -- and it was more so on one side than on the other, so I felt lopsided. It lasted so long that I assumed it would always be that way, but eventually (and very slowly) the swelling disappeared and I've ended up with a chin and neck that are thinner than they were pre-cancer.

Cathy


Tongue SCC (T2M0N0), poorly differentiated, diagnosed 3/89, partial glossectomy and neck dissection 4/89, radiation from early June to late August 1989
#56030 12-30-2004 07:32 AM
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As I have said many times before, get yourself to a good physical therapist. Besides handling the problems that occur post neck dissection with arm weakness and massaging the scar to keep it from tightening up, they also handle post radiation problems from the accumulation of fluid under the chin. It may not go away altogether, but with proper massage, it should go down considerably, but will take a while. I think mine took a year.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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