| Joined: Feb 2014 Posts: 24 "OCF Canuck" Member | OP "OCF Canuck" Member Joined: Feb 2014 Posts: 24 | We are both a little apprehensive about the surgery. They have told us that my husbands corner of his mouth needs to be removed. I'm wondering if anyone has had to do this and if there is any advise you can give.
I also want to know what to expect before and after surgery. He will be in ICU for 10 days then I don't know what else is going on. Any advise wouldn't help.
Caregiver to Husband Hubby Age 43 Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014 T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site. 37 nodes removed. 3 at level 1 malignant.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Have you discussed how much will be removed? Will the doc have a plastic surgeon working with him in the OR? He may not have told you all the details like who else will be working in the OR with him.
I would ask how long the surgery will be. It could be a good 5+ hours depending on how much is taken. Ask specifically how much tissue will be removed to get clear margins. Have the doc go into detail with exactly what he will be doing.
The above info will help you to understand more what to expect. Ive had a mandibulectomy which is probably similar to what your husband will have done. In my situation, half of my lower jawbone was removed.
Dont be surprised if your husband is kept medically sedated for a couple days. This is not that unusual in major surgeries. He may have a trach, if so ask for a possey muir valve trach so he is able to speak easier. You must ask for this or it wont be given. Your husband probably will not remember much of the hospital stay or even the first couple days when he goes home. He may have significant pain levels. It would be a good plan to ask the doc to prescribe him 2 different pain meds so if he is hurting he would be able to take one or the other instead of waiting in agony for the clock to get his next dose. Sometimes the doc will give the patient a pain pump where they can get pain meds by pushing a button.
Ask the doc about eating, how much the surgery will compromise his ability to eat.
Recovery can be long depending upon how much is removed. He may have a "free flap". This is tissue taken from another area (usually wrist) to be used to replace what was removed. Dont be surprised to see major swelling that doesnt seem to go away for a few weeks. Complete recovery from a surgery like this can take a full year. Reconstruction can always be done after waiting for a year. You would be amazed at what doctors can do with plastic surgery.
If you arent feeling comfortable with the info you already have received from the doc, schedule another appointment to review the surgery info.
Best wishes! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Feb 2014 Posts: 24 "OCF Canuck" Member | OP "OCF Canuck" Member Joined: Feb 2014 Posts: 24 | We have another appointment on Tuesday with a surgeon about the reconstruction. So I will be sure to ask detailed questions.
They said that the surgery will take 10-12 hours. There will be a plastic surgeon on hand to do reconstruction right away. They are going to be using this new light to be sure they get all the margins out. This light works like a black light and makes the cancer show dark. So they can be sure where to cut.
They will be doing a free flap from his wrist to replace tissue and veins in his cheek.
thanks for the info. Curious to find out how different you looked and if you had any depression or any sadness due to this.
Caregiver to Husband Hubby Age 43 Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014 T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site. 37 nodes removed. 3 at level 1 malignant.
| | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | Hi where is he being treated.?
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Feb 2014 Posts: 24 "OCF Canuck" Member | OP "OCF Canuck" Member Joined: Feb 2014 Posts: 24 | Calgary Alberta at the Tom Baker Cancer Center
Caregiver to Husband Hubby Age 43 Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014 T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site. 37 nodes removed. 3 at level 1 malignant.
| | | | Joined: Feb 2014 Posts: 24 "OCF Canuck" Member | OP "OCF Canuck" Member Joined: Feb 2014 Posts: 24 | We were told today by surgeon that because his wrist has hair on it, when they put it in his mouth, he may have hair in his mouth. Has anyone experienced this. Let me know. Thanks. Surgery is booked for Monday.
Caregiver to Husband Hubby Age 43 Was diagonosed with Buccual Muccusa Squomous Cell Carcinoma on Feb 13, 2014 T2 N2(not 100% sure if they are malignant) Stage 2 or 3 Not sure bc of Nodes Surgery took place on March 17. They removed the tumor with 2 mm margins. Flap from left arm inserted into Cheek. Skin graft from left thigh to put on donor site. 37 nodes removed. 3 at level 1 malignant.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Yes, this is can happen. Ive read several posts about patients who have gone thru this. As time goes on the hair will diminish and thin out and eventually it becomes barely noticeable.
Best wishes! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Dec 2013 Posts: 78 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Dec 2013 Posts: 78 | I have hair on my tongue. I don't even notice/feel those. Almost two months, I am out of surgery, nothing is worry some. Will go away eventually... Functions are more important, swallow, speaking, moving food from one side to another. Special thanks to OCF and all respected members here for their support
Ankur, 37, T1N2M0 12/13: Biopsy and results 01/14: Partial Hemiglossectomy (1/3 tongue) and a Flap Reconstruction Right neck dissection. 3/42 nodes positive and removed Speech (80%) and swallow (100%) restored within 5 weeks after surgery(3/1/14) 03/14: 30 IMRT Appointments Started 3/17 (No CT) 04/14: Radiation treatments completed 07/14: PET - All Clear | | | | Joined: Dec 2010 Posts: 5,260 Likes: 3 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,260 Likes: 3 | It does happen. If they take from the inside of his wrist there shouldn't be too much I'm a woman so I had none but I know of a few people who had thigh transplants and they are quite hairy - laser kills it and rads will diminish it. Hugs.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | "OCF Kiwi Down Under" Patient Advocate (1000+ posts) Joined: Mar 2011 Posts: 1,024 | Kris had his flap taken from his abdomen. There were initially hairs on it. I think they were all gone after a few months. He never noticed them. Tammy
Caregiver/advocate to Husband Kris age 59@ diagnosis DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT. PET 6/11 clear. R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in. March 2017 - 5 years disease free. Woohoo!
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