Tony -- If you are talking about the swelling that seems to come and go around the midline of the neck above the Adam's Apple, I can relate. As Sharlee says, it is lymphedema, or the lymphatic fluid looking for a pathway to follow. I assume that there was likely some lymph gland removal involved with your laryngectomy, and this would be a primary cause. Radiation fibrosis can exacerbate it as well, as I understand it.

I have heard conflicting views on whether or not massage of the neck is appropriate treatment for this. Other than that, it is supposed to improve over time. As long as the swelling is not masking a swollen node, I have been told it is nothing to worry about.

Do you find that it tends to be worse in the morning, then improve, and perhaps get a little worse at the end of the day?


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!