Good Morning-

I am 20mths out from TORS and left side MR Neck dissection followed by 56 tx of IMRT at JH medical center for T3N2M0 BOT/tonsillar fossa primary w no nodal extension by pathology and clear margin. PETS at 5 mths and 18mths have shown NED.

I feel blessed. My questions are @ radiation fibrosis. I had a single 3.5cm lower cervical node (between zone 3-4) so received a higher dose RT above my supraclavicular area where there is minimal fat and soft tissue. I have significant scarring and mild-mod lymphedema.

Questions--
Are there any creams/treatment to reduce the "woody" skin fibrosis or has HBO been shown to help w this during the 1-2 yr post tx (improve current or reduce long term complications).

Is physical therapy or manual lymphatic massage the best tx to limit long term complications (swallowing muscle contracture, etc).

Thanks