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#41107 05-02-2007 06:21 AM
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I have noticed, from reading this forum, that many of you had your neck incision stapled because you mention having to have the staples removed. My neck incision was glued. I haven't heard anyone else mention this. Am I the only one and is this something new or uncommon?


11/28/2006. Left lateral tongue, partial glossectomy, T3, moderately differentiated. 12 lymph nodes from neck, all clear. IMRT, 30X, ended 02/21/2007.
#41108 05-02-2007 01:10 PM
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Hi Lamont,

Just to throw out another method, I had sutures that had to be cut and removed about a week after surgery. Gluing sounds like the ideal situation as there is nothing to remove. I wonder if the size of the incision determines if gluing can be done.

Just as a point of information, I had no problems with handling anything that was done to me, but I almost fainted when the sutures were removed. Considering that I am a dentist and I place sutures and remove them, I was quite surprised at my reaction. Would have preferred the glue.

Jerry


Jerry

Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.

"Whatever doesn't kill me, makes me stronger"
#41109 05-02-2007 01:39 PM
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I know it isn't new...gluing incisions, that is. Cynoacrylic glue (crazy glue) was orignally developed in the Vietnam war era as a surgical adhesive.

My neck dissection was sutured as well. Jerry, you weren't alone; It was a really good thing I was lying down when they started taking out sutures...I didn't have too far to fall after I fainted!
Wayne


SCC left mandible TIVN0M0 40% of jaw removed, rebuilt using fibula, titanium and tissue from forearm.June 06. 30 IMRT Aug.-Oct. 06
#41110 05-02-2007 01:51 PM
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I had sutures as well ..One set removed and the other disolved. with some kinda tape like stuff over it. The set removed ..I dunno how I felt I was still whinning about the removal of the drain tube in my neck ...that I was told "wasn't going to hurt"..WELL I BEG TO DIFFER...I tell ya I came off the bed after that !


Sharlee
35 year old Female Non smoker, very occasional alcohol ..Scc T1N0M0,partial glossectomy and left neck disection ,2/9/07 No rad deemed ness. 4/16 tonsillectomy ..Trimengenial Neuralga due to surgery
#41111 05-02-2007 02:24 PM
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Lamont,

I see you were glued at Emory as was I. I had a 3" incision on right side of my neck. My ENT doing the surgery told me that gluing minimized scarring. Mine was done back in September and is now virtually invisible. Of course, I'm 60 and already wrinkled and the scar runs down the center of a wrinkle that was already there.

The right side of my neck is also still numb and the ENT said it could take 6 months to a year before the feeling came back. It's now a bit over 7 months and it still seems just as numb as ever. It just feels weird when shaving and not feeling anything when running the razor over that area.

Bill D.


Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
#41112 05-02-2007 03:40 PM
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You guys should have gone through with me.... I had STAPLES. I loooked like I had a zipper running aorund my neck. The drain was a bitch but quick and overwith, but the removal with the pliers of the staples seemed to last forever. In perspective though, no big deal in comparison to all that has been done to me.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
#41113 05-02-2007 04:01 PM
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Bill D......What did they do through that 3" incision?? Mine is about 12" at least, total..maybe a few more inches. It starts under my chin, goes almost straight down, nearly to my collarbone, and back up to behind my ear. It was stapled also...and yes, you do look like one of hte Adams family members, with that zipper and a drain dangling from beneath it. They removed about half of the staples one week, and the other half the next week. My scar is ok, but it is not invisible. It is not unsightly, though I wouldn't mind it being a little less visible.....small potatoes with all the other stuff done to me, as others have said.


Colleen--T-2N0M0 SCC dx'd 12/28/05...Hemi-maxillectomy, partial palatectomy, neck dissection 1/4/06....clear margins, neg. nodes....no radiation, no chemo....Cancer-free at 4 years!
#41114 05-03-2007 01:59 AM
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Another stapled patient here. I had a cervical spinal fusion in February, so they used the same line, except this one goes basically ear to ear around the neck. I had 3 drains, which they removed on successive days in the hospital. Staple removal wasn't bad.

I still think I look like the understudy in Young Frankenstein, but my wife and son say it is hardly noticeable. I pay them well to lie . . . ;-)

Between the fusion and the neck dissection, I almost wish they would put a zipper in! All in all though, the neck dissection has been much less of a hassle than I expected. I had the surgery late on a Thursday afternoon, was discharged Monday morning, was working from home for 7 days, as they would not let me drive, and back at work the follwing Tuesday.


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!!
#41115 05-03-2007 02:38 AM
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Bill D.,
My experience sounds identical to yours except my incision is probably 6 to 8 inches. Mine also is in a natural crease so, it is not very noticeable. I don't understand why they don't use glue for all of them. It was totally painless and no staple scars.I have reached the 5 month mark and, like you Bill, my neck is still totally numb.
Also, regarding shaving, I now only have to shave the tops of my cheeks, mustache and lower neck area as the radiation killed off the rest of my facial hair. I didn't know you got free electrolysis with radiation. What a deal.


11/28/2006. Left lateral tongue, partial glossectomy, T3, moderately differentiated. 12 lymph nodes from neck, all clear. IMRT, 30X, ended 02/21/2007.
#41116 05-03-2007 05:26 AM
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Staples for us .53 of them !Rob looked like Frankensteins monster!!


Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.
#41117 05-03-2007 06:40 AM
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I had nothing but stitches and a drain the first time and stitches, one staple and a drain when they did the other side 4 years later. Both incisions were about 3 inches, but done in two totally different fashions. Scars from both are barely visible. You need to make certain your surgeon is a good plastics guy also. I don't remember whether stitches were removed before I went home or shortly afterwards.

Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
#41118 05-03-2007 09:19 AM
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Interesting....so many different approaches, to neck dissections as well as to treatment in general. No wonder we all have so many questions! Obviously they all work......


Colleen--T-2N0M0 SCC dx'd 12/28/05...Hemi-maxillectomy, partial palatectomy, neck dissection 1/4/06....clear margins, neg. nodes....no radiation, no chemo....Cancer-free at 4 years!
#41119 05-03-2007 01:51 PM
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I guess I was lucky to get away with just a 3" incision! My ENT removed a mass of nodes on the right side. The removal of the drainage tube was almost as fun as the PEG removal. Actually, there was more pain with the PEG removal though.

Bill D.


Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
#41120 05-10-2007 11:27 PM
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Incision inside my mouth stitched and neck dissection also stitched both with disolveable stitches. I also had the bottom of my mouth kind of scooped out that took along time to heal. Outside incision not very noticeable as it is in a neck crease. post op a year and still numb in the neck dissection area and also 1/2 my tongue, I know that is permanent now. Yes, Sharlee that drainage tube removal was no fun!!


Adele,
mucoepidermoid carcinoma of the submandibular gland, 05/06, left neck dissection, gland and tumor removed, intermediate grade, margins negative, 9 lymph nodes negative, no rad, no chemo,
11/07 surgical biopsy of lymph node left neck, no cancer!
#41121 05-11-2007 01:58 AM
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Mine was pretty much like Bill D. since we had the same ENT. I am glad for the glue due to it went away on its own. It has been 3 months since my surgery and you can't see the scar. Dr. Chen did a super job. Bill D, how long does the sore throat last?


Bill B. Dx 10-16-06 Stage 4 T2N2bM0 SCC Left Tonsil,3 nodes. 1st tx 11-28-06, last tx 1-8-07. 3x Cisplatlin, 5fu pump, and Doxetaxel. Modified neck dissection,20 Nodes removed, all clear 02-21-07. HPV+,33 IMRT start 3-22-07 70GY,Completed 05-04-07 smile
#41122 05-11-2007 04:43 AM
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I read all of your posts...
my mom is having her surgery on Tues, the 15th. We are under the impression from the plastic surgeon that it will go across the front of her neck, one ear lobe to the other, she is having a bilateral, with 20-30 nodes removed. I never considered there might be another way he may do it. I guess I should prepare myself and family? Or better yet, only myself? Jerry, did I ever call and thank you?? I hope I did.


Donna
CG to Mom, dx 4/25/07 with tongue cancer,T3N0,tx began 7/6/07, 31 tx's of IMRT, 8 cycles of Erbitux. Brachytherapy, surgery, left neck dissection and temp trach placed all on 9/17/07, trach removed 10/17/07. ORN of jaw, late effect of radiation symptoms. **lost my beautiful mother on 5/5/11.
#41123 05-11-2007 04:59 PM
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JAM
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Hi, DR, had a thought about "preparing" everyone. Just want to warn you that your Mom will probably look dreadful when you see her in the recovery room: there might be tubes and hoses everywhere,her neck may be bound in gauze bandages and there may be swelling, she may have pressure pumping booties on to stop blood clots in her legs, she will most likely be hooked up to several machines. These are all normal parts [not pretty] of "after neck dissection surgery". The staff should give you a ph# that you can call anytime to speak to the nurse caring for her during the times you aren't allowed in the room. It's hard to see her this way, but it is part of the process, so don't let it scare you too much. Amy in the Ozarks


CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease

:
#41124 05-12-2007 07:19 AM
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Ditto to what JAM posted. I had bilateral ND on April 12. Incision will be in neck crease, but does basically go from ear to ear, and is usually stapled, though sometimes glued. There will be swelling, at least 2 and up to 4 drain tubes extending from neck to little bags. She will have an IV with saline, antibiotic. May have oxygen as well.

She will not be pretty to look at, I guarantee. My wife was a little green when she first saw me -- unknown to me, they did not bandage the incision (this is increasingly typical).

The good news is that I was up a little bit the next day (I had a late afternoon surgery), had 1 drain removed each day thereafter, and was very mobile and up most of the day 36 hours after surgery. Everyone is different, of course. Pain was far less than my cervical fusion in February.

Best of luck.


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!!
#41125 05-31-2007 07:13 PM
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JT2
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Hi Forum;

I had 68 staples that closed about a 14 inch incision following the removal of 27 lymph nodes. No fun having those staples removed - very uncomfortable - but no lasting pain. However, a fair amount of anxiety.

My ENT said it would be anywhere from 6 months to 2 years before any feeling had returned. I am now at the 16 month point, and while some sensation has returned to my shoulder area, what remains of my neck, ear & the surrounding area remains very woody to the touch with no feeling on the inside. I do feel a pain-like sensation when my ear is touched or bumped, which I guess is a good sign the nerves are coming back, but I am not altogether certain that is what's happening.

I feel I was poorly informed about this surgery, and strongly urge everyone who is contemplating a radical neck dissection fully explore its ramifications. My ENT left me with the impression it was little more than day surgery. As he once said to me "...if I told you what I was going to do, you wouldn't have let me do it."

Not what I would call an informative bedside manner. Its hard to criticize the man who helped save your life, but everyone should find out as much as they can about surgery before it happens.

The only real complication from my neck dissection was infection that arose as a result of my long hair (at the time). I should have taken the precaution of having my hair cut off rather than leaving it shoulder length. Proves that common sense ain't so common !

In any case, good luck and a speedy recovery !

JT2


Age 55 at Dx,smoker 30 yrs ago, drinker 8 yrs ago; Stage 4 Squamous cell carcenoma T4a N3; 35 radiation tx, 3 chemo w/ Cisplatin, radical neck dissection,40 hyperbaric dives pre-surgery. Clinical remission since May 2006; Update: declared cancer free July 16, 2010! Miracles can happen...
#41126 06-02-2007 07:27 AM
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Hello Lamont!

I was going to say that you named this topic incorrectly, but with 19 responses many would beg to differ!

Here are some titles I thought would serve us better???

Our Morbid Curiosity
Comparing Battle Scars
Badges of Honor
Badges of Courage
Badges of Life
Real Tattoos

In the pugilist world, they are called "Badges of Honor". When people talk about getting "inked", I say why do your want to put scars on your body? Which, by definition is exactly what they are? Or I say no thanks I have enough scars already. I really feel 85% of all these young people will look at their tattoos in the mirror in 10 to 20 years after getting them and muse, WHAT THE HELL WAS I THINKING! :rolleyes:

I already had a grand collection of scars and never plan on or look forward to new ones. But since we're on the subject I feel compelled to share/show my new "TATS" off.

The one going lengthwise on my tongue looks like the letter


DX 3-21-07 L tongue,SCC Stage IV (T3N2MO) TX Slash/Burn/Poison Method.
***Rapid Aggressive Recurrence 8-4-07 with same DX/TX. Life does not cease to be funny when people die any more than it ceases to be serious when people laugh. Never Give Up! ****UPDATE**** Our dear friend Petey passed away, RIP 9-2-07
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