| 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
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