| Joined: Feb 2009 Posts: 19 Member | OP Member Joined: Feb 2009 Posts: 19 | Hi, Group, I'm headed for a total glossectomy in Pittsburgh on Tuesday, and scheduled for reconstruction the same day. How many of you have reconstructions that function? I have heard of a friend of a friend who could speak after this, which was encouraging, but my direct question to the doc received a "fuzzy" reply - something about a woman last week that he could ALMOST understand... So, while I've been trying to avoid this site to calm myself, I think I need now to tap into all or you who may have had this done for feedback as to outcome. May I? Thanks for your help.
And, please don't chastise me if this has been covered before -I just can't bear wading thought the thousands of responses to "tongue."
Will I ever sing again?
1998 1 Amalgam replaced->oral lichen planus R lat tongue; 1999 biopsy "no cancer-looks like uses smokeless tobacco"; 5/08 allergy testing pos to filling & crown metal; 9/08 replace amalgam fillings; 1/09 Partial glossectomy; 5/09 total glossectomy & free flap; rad & chemo just completed.
| | | | Joined: Aug 2007 Posts: 580 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2007 Posts: 580 | Linda Rose, I would have to say without a doubt in my mind that, yes, you will sing again. I have never heard you sing and that does not matter in the least. Every patient who goes through what you are about to will experience many changes in their voice, some positive some negative. If you want to overcome the reconstruction you will. Will a recording sound the same..probably not..does that matter...no. Singing, in fact, may strengthen and help healing if it is approached in the same manner that an athelete who sprains or breaks an ankle approaches rehabilitation. So talk to your docs and when you feel ready sing!! If for nothing else it will certainly make you feel better. Cheers, Mike
Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend. Live, Laugh, Love & Learn.
| | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Nov 2005 Posts: 1,128 | The problem with a total glossectomy is that the muscles that push the front of the tongue around are removed, unlike a partial glossectomy where the muscles can still push the faux tongue around to form sounds and swallow.
A lot will depend on how much scarring you have from the surgeries. In my case, with two surgeries and the radiation, my throat is very restricted and my speech is nowhere near clear (Still have my trach tube).
Age 67 1/2 Ventral Tongue SCC T2N0M0G1 10/05 Anterior Tongue SCC T2N0M0G2 6/08 Base of Tongue SCC T2N0M0G2 12/08 Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06 Neck dissection, trach, PEG & forearm free flap (6/08) Total glossectomy, trach, PEG & thigh free flap (12/08) On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | Joined: Feb 2009 Posts: 19 Member | OP Member Joined: Feb 2009 Posts: 19 | Thank you both for your replies. I got home yesterday, and feel like I'm holding a porcupine in my mouth.
Am grateful that they were able to remove the trach & feeding tubes yesterday too. Some words but too much swelling yet.
Linda
1998 1 Amalgam replaced->oral lichen planus R lat tongue; 1999 biopsy "no cancer-looks like uses smokeless tobacco"; 5/08 allergy testing pos to filling & crown metal; 9/08 replace amalgam fillings; 1/09 Partial glossectomy; 5/09 total glossectomy & free flap; rad & chemo just completed.
| | | | Joined: Mar 2008 Posts: 404 Likes: 2 "OCF Down Under" Platinum Member (300+ posts) | "OCF Down Under" Platinum Member (300+ posts) Joined: Mar 2008 Posts: 404 Likes: 2 | Linda
So pleased to read that you are home and the surgery is now behind you. You must be making progress if they were able to remove the feeding tube this soon after having a total glossectomy - wow that is great news.
Are there any plans for radiotherapy and/or chemotherapy?
Take care
Karen
Last edited by Karen Rose; 09-04-2009 08:13 PM.
46 yrs: Apr 07-SCC 80% entire tongue removed,T4N1M0 Neck/D,Jaw Split, Trache 2 ops,PEG 3.5yrs 30 x rad,6 x Cisplatin, 30 x HBO Apr'08- flap Recon + ORN Mandibulectomy (hip bone to reconstruct jaw) Oct'08 1 Plate out-jaw Mar'09 Debulk flap Sep'09/Jan&Nov'10/Feb&Jun'11/Jan&Jul'12/Oct'13/April'14-More surgery
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