HI, Steve,

Three months ago, my husband and I met with another H&N surgeon who injected his parotid glands and submandibular glands with Botox. It is helping. He has since had a second visit with additional Botox. We will continue this as long as it is helping. One thing she noticed was that his lip, on the opposite side of his mandibule rebuild, droops as compared to the affected side. Radiation had tightened his lip which makes the untreated side droop. She suggested we speak with one of her colleagues to see if he can tighten the droop by pulling up the corner of his mouth with a tether. Sounds really promising as it would give my husband another way to contain saliva instead of leaking out at that point. I'll let you know how it goes. My husband has not yet decided to do this procedure.

Sending my best to you.


Anita (68)
CG to husband, Clark, 79,
DX SCC 11/07, T4N0Mx, PEG 1/08, RAD, post rad infection 3/08,
HBOT 40 dives, ORN, Surg 11/09 mandibulectomy w/fibular graft.
Plastic Surg 4/10, 12/10, 3/11, 10/11, 4/12, 10/12. All PETS clear,
PEG out 1/11. 6/11 non union jaw fracture
Fractured jaw w/surgery 7/14
Aspiration pneumonia 7/21, 10/22
PEG 7/21
Botox injections