David II,
I was told it takes a year or so for the salivary glands to fully heal. It does seem that point&shoot IMRT is initially harder on them.

For me dry mouth is not an issue and it was never real severe. In most cases Tomo's fan-beam arc delivery will spare all the salivary glands (with proper planning of course). I had a paper on how they do this, but I can't find it, so as best I recall the trick is to keep 75% of any Salivary gland under 20gy.

My TSH has not significantly changed, but I do have some throat constriction (noticeable when I eat rice or peanut butter). Otherwise I don't seem to have any significant side-effects.

The tonsillectomy was the worse. They really took a lot of real-estate. Thankfully I was hospitalized.



Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11