| Joined: Oct 2012 Posts: 33 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Oct 2012 Posts: 33 | I was wondering if it is normal to have a lot of swelling after a selective neck dissection. I had it done a week ago tomorrow. They removed the neck drain yesterday morning and I have been lubing the scar and drain point with bacitracin. Today the swelling, which looks like I swallowed an apple on my left side is starting to move under my chin and swell on the right, above the incision point. My chin is turning red. I'm wondering if that is bruising. Just wondering if this is normal or a sign of infection. Any comments/suggestions would be very helpful. Thanks.
10/2/12 Surgery Dx Stage II SCC RLT 11/12/12 Further tongue resec and SND. 3 of 22 lymph + SCC Stage IVa 11/22/12 Hospitalized for infection incision at neck 12/5/13 PET scan tumor at BOT 12/26/12-2/27/13 RT and Cisplatin 4/1/13-5/17/13 3 rounds of Cisplatin, Taxotere and 5-FU 7/19/13 Pet Scan possible recurrence 8/23/13 2nd op at MSKCC, CT Scan 8/31/13 MRI. Both show sizeable mass 9/11/13 CT-guided needle BX + SCC 10/1/13 Erbitux, Cisplatin and Taxotere 2/14/14 Passed away
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Hi there - swelling is usually very normal. They removed a drainage system from your neck. That's what you r lymph nodes do - the lymph system travels paralel to your circulatory system and cleans your blood prior to letting it go back into circulation. A sign of infection can be redness, (usually accompanied by tenderness, and heat) or maybe removed your drains a bit early - though usually its only a few days past surgery they remove them. Youre seeing your dr. Tuesday so you should be okay. Until you've healed and have built new pathways for the fluid to drain you will likely be swollen. See what your dr. Says tuesday then look into lymphatic massage and physio for your shoulder. Hugs!
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Sep 2012 Posts: 381 "OCF Canuck" Platinum Member (300+ posts) | "OCF Canuck" Platinum Member (300+ posts) Joined: Sep 2012 Posts: 381 | Yep. Swelling is totally normal. Both sides of my neck looked like I didn't have a neck. Now it's only one side and I am 5 weeks post surgery.
I am trying to massage the fat parts, but its slow going....I'm working on my patience....also slow going!
Tina Diag: Aug. 13/12 T3N0M0 50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V Surgery October 11/12 Chemo/rad on hold due to clear margins and nodes Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely. Dec 16/13 - anomaly confirmed artery, all clear nickname: "get 'r done" Plans: kick cancer's butt
| | | | Joined: Sep 2012 Posts: 145 "OCF Down Under" Senior Member (100+ posts) | "OCF Down Under" Senior Member (100+ posts) Joined: Sep 2012 Posts: 145 | Hi there,
Make sure you get bio-oil and a silicone based gel and massage it constantly as it may be scar tissue forming below the surface due to the surgery.
The massages help incredibly well with making the scars look non-visible, and will prevent from permanent scar tissue forming near the neck line.
Hope that helps.
6/8/12: Wife 33y/o with no risk dx with Stage IVa SCC L of Tongue(T4aN2bM0) 3/9/12: Induced birth @ 36 weeks - Baby Hunter! 11/9/12: OP - 3/4 Partial Gloss, Radical ND & Tongue Rec. 24/10/12: 33xRad + 7xChemo 7/12/12: Tx complete 21/3/13 & 21/6/13: NED 24/7/13: SCC in Lungs - OP: Lobectomy (VATS) 29/1/14 passed away
| | | | Joined: Oct 2012 Posts: 118 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Oct 2012 Posts: 118 | I am curious about this bio-oil. Is it something the Dr. can prescribe?
Bette/CG to husband Reggie 66
dx 1: SCC Soft Palate (12/06) tx: chemo and rad
dx 2: SCC 6 cm tum rt. vocal chord (12/09) tx: total laryngectomy with stoma, 2 nodes
dx 3: SCC 4 cm tum BOT (10/16/12) Tx: partial gloss w/ mod deck dis 4 nodes incl. part. pharyngectomy
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | You can buy it online... -  hugs!
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Sep 2012 Posts: 145 "OCF Down Under" Senior Member (100+ posts) | "OCF Down Under" Senior Member (100+ posts) Joined: Sep 2012 Posts: 145 | Or you can purchase it from your local pharmacy (or chemist since you are from the US!).
The silicone based gel is quite expensive but I would HIGHLY recommend it to anyone who is looking to manage their scars.
6/8/12: Wife 33y/o with no risk dx with Stage IVa SCC L of Tongue(T4aN2bM0) 3/9/12: Induced birth @ 36 weeks - Baby Hunter! 11/9/12: OP - 3/4 Partial Gloss, Radical ND & Tongue Rec. 24/10/12: 33xRad + 7xChemo 7/12/12: Tx complete 21/3/13 & 21/6/13: NED 24/7/13: SCC in Lungs - OP: Lobectomy (VATS) 29/1/14 passed away
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | "Chemists" in the US? That would be the UK, in the US, chemists are not pharmacists but actual chemistry scientists. The International flavor of OCF is fun
For what it's worth, my neck dissection scars have all but disappeared with just massage and regular moisturizer. They used to be quite prominent but are very hard to see now. I had never heard of bio oil so I did a quick Google search and it's a mineral oil based lotion with some herbal oils, vitamins and fragrances added (according to it's web site). It must be popular since it's sold in Walmart and on Amazon etc.. The reviews are mixed, especially for stretch marks, but it seems to fall out on those who liked the feel of mineral oil and those who did not. Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2012 Posts: 145 "OCF Down Under" Senior Member (100+ posts) | "OCF Down Under" Senior Member (100+ posts) Joined: Sep 2012 Posts: 145 | Having been brought up in Atlanta till I was 10, then moving to New Zealand then onto Australia, I tend to get my "American" and "British" terms mixed up 
6/8/12: Wife 33y/o with no risk dx with Stage IVa SCC L of Tongue(T4aN2bM0) 3/9/12: Induced birth @ 36 weeks - Baby Hunter! 11/9/12: OP - 3/4 Partial Gloss, Radical ND & Tongue Rec. 24/10/12: 33xRad + 7xChemo 7/12/12: Tx complete 21/3/13 & 21/6/13: NED 24/7/13: SCC in Lungs - OP: Lobectomy (VATS) 29/1/14 passed away
| | | | Joined: Oct 2012 Posts: 33 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Oct 2012 Posts: 33 | I was visiting a friend in the hospital yesterday when my drain port burst and I became a draining, oozing mess. I went to the ER and they sent me back to Morristown where I've been since last night. I have a post-op infection. There was an abcess that burst. I actually had a fever but didn't know it because I had been taking Tylenol with codeine so it was low grade. Yesterday morning I didn't feel good either. Just grateful I was in a hospital when it burst and had already had antibiotics in my system. I'm on two antibiotics and probiotics for diarrhea. I am no longer in pain so I just take Benadryl because I'm reacting slightly to something. That stuff knocks me out. I also take Xanax because if I let myself go to that dark place, I just want to snap out of it. I just want to be as high as a Dead Head but haven't done that since college so I settle for pharmaceuticals. Does the trick.
This sucks sucks sucks sucks sucks!
10/2/12 Surgery Dx Stage II SCC RLT 11/12/12 Further tongue resec and SND. 3 of 22 lymph + SCC Stage IVa 11/22/12 Hospitalized for infection incision at neck 12/5/13 PET scan tumor at BOT 12/26/12-2/27/13 RT and Cisplatin 4/1/13-5/17/13 3 rounds of Cisplatin, Taxotere and 5-FU 7/19/13 Pet Scan possible recurrence 8/23/13 2nd op at MSKCC, CT Scan 8/31/13 MRI. Both show sizeable mass 9/11/13 CT-guided needle BX + SCC 10/1/13 Erbitux, Cisplatin and Taxotere 2/14/14 Passed away
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | WOW, Katie!!!! I have never heard of something like this happening. You sure are one lucky girl being in a hospital when that happened!!!!
Best wishes with everything you are going thru!!!! ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Nov 2006 Posts: 2,671 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Nov 2006 Posts: 2,671 | Oh my goodness, Katie! - It IS a good thing you were in the right place to get taken care of! It's good that you're not in pain any more, but I hope you keep in touch with your doctor regarding any little changes that you notice in your body. A little less unexpected excitement in your life would be good at this point.
Re the bio-oil, I vote for online, especially if it's thru Amazon's OCF link and part of the Black Friday or Cyber Monday deals.
Anne-Marie CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Get well soon girl... it does suck... I totally hear you... the oozing mess sounds scary. Glad you got help immediately. Definitely keep an eye on things and heal fast.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Katie
Well that certainly explains your post op swelling. How scary You will be able to warn the next poster who experiences your symptoms . I had to stay so long in the hospital (12 days) after my surgery that they had already taken the drain ports out. I had been worried about complications like you had. As an old Dead Head, I can vouch that there is nothing wrong with "better living thru chemistry" (popular paraphrase of Dupont's old ad slogan -1935 to 1982). Too many patients don't take the pain pills or anti depressants that can help them get through the side effects of cancer TX. Good for you to know that situational anxiety can be treated. Keep the Faith Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2009 Posts: 701 Likes: 1 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Sep 2009 Posts: 701 Likes: 1 | Hi, Katie,
This happened to my husband, too. He had a number of post radiation infections and each time he had an abscess that burst. It is messy and painful. He has been on antibiotics for years and that has been keeping things under control. What we look for now are two things: warm red skin and swelling. If he out of his antibiotics, then off to the doctor we go.
I hope this is a one time thing for you. When in doubt, get it checked out!
My best to you� Anita
Last edited by AnitaFrances; 11-24-2012 09:50 AM.
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
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