We think that the fistula has healed. At least there is not any more infection. However, it could possibly still be there as there is still drainage every day from just below the chin. This extra little hole in the bottom of his chin occured when the infection finally broke thru the skin. The doctors seem to prefer that it remain open and draining, because the bone is deteriorating and this hole seems to keep things from backing up in this area causing another infection.

It isn't painful, so that is good.

It is the bone deterioration that is the doctor's next concern. That will never fix itself, it will only get worse. The Pectoral graft already was done, just 4 days after the original fibular free flap failed, but that doesn't help the problem with the bone.

For having so many problems, the only concern he had today is the thick mucas from radiation. It has already started and he has only had 10 treatments. I guess he is taking it better than me and just worring about what bothers him today, and not about what might bother him tomorrow.





CG-Husb-Diag 03/08 T4N2cM0 Floor of Mouth SCC: 5/21-Mod Rad neck dissecton, remove mandible,floor of mouth, suprahyoid muscile, part of tongue. Bilateral +nodes. Reconstruct w/fibular (failed). 5/25-Pec flap: 6/15-infection from fistual: 7/31-Rads-6 wks. Chronic infections. HBO
starts 1-26-09