I had a nack dissection and radiation. Radiation ended 15 months ago. I have trouble with a few letters and like the other posts my name is difficult for me to pronounce. I was able to speak better before radiation, surgery did not cause me graet problems. However, I have switched ENT's to Memorial Sloan Kettering and they favor Rad/Chemo over Surgery/RAD. Thick saliva is my mahjor problem. I always feel as though my tongur is overrun with saliva. My radiologist says it will probably remain this way. He recommends a cough surpressent for possible relief.