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#60308 02-14-2007 07:34 AM
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Hi All,

Just curious if anyone has run into a condition I have after a partial glosectomy/modified neck disection. Every now and then, the lower jaw muscles and muscles under my chin will cramp and force my jaw open. It can be painful and I usually have to massage the muscles to get them to relax. It usually happens whan I am yawning a lot.

It is kind of embarassing when it happens while talking to someone as well. I have to pause and massage then continue the discussion.

An ideas on how to keep this from happening?

Thanks,
Jim


T3N2aM0 SCC right oral tongue. Partial Glosectomy, Modified Neck disection for 1 Lymph Node. Dec. 2002. 35 IMRT 2003.
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Jim - I am about 9 months out from the same surgery that you had, but did not have to have RT. I have the same problem - it happens when I yawn, but not every time.... I asked my Dr and he said it was related to the nerve damage from the ND and that it might get better or even go away.. or it might not... So I have just learned to live with it - but it really hurts when it happens, doesn't it??!!! Sorry I don't have a cure...


Ginny M. SCC of Left lateral tongue Dx 04/06,Surgery MDACC 05/11/06: Partial glossectomy with selective neck dissection. T1N0M0 - no radiation. Phase III clinical trial ("EPOC" trial)04/07 thru 04/08 because tests showed a 65% chance of recurrence. 10 Year Survivor!
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Yeah, sometimes it is more painful than others.

Jim


T3N2aM0 SCC right oral tongue. Partial Glosectomy, Modified Neck disection for 1 Lymph Node. Dec. 2002. 35 IMRT 2003.
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Jim,

It also happened to me from time to time after my surgery/radiation. You're right -- it tended to be mostly when I was yawning, and it could be quite painful. I just tried to keep working the muscles, and eventually the nerves seemed to heal to the point where the problem resolved itself.

Cathy


Tongue SCC (T2M0N0), poorly differentiated, diagnosed 3/89, partial glossectomy and neck dissection 4/89, radiation from early June to late August 1989
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Jim, if I can remember I think I started getting the spasms at about 3 yrs post tx. I did not have ND. I have had the spasms ever since and you are right they are very painful and embarassing if your talking with someone.
Also for the past week I have been getting similar spasms at my skull base behind my ears. The pain has knocked me off my feet it was so intense. I was wondering if my blocked sinuses could have this effect. Has anyone else had these spasms from neck muscle leading up to behind the ear.
Mark D.


Mark D. Stage 3 Nasopharynx dx10/99 T2N3M0 40xrad 2x Cisplatin 5FU. acute leuk 1998.
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I'm having them also. Started about 10-11 months post-rad, so far only on side opposite my partial glossectomies and only (but not always) when I yawn.


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.
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I have jaw cramps that started this fall (about 17 months after the end of radiation). I find they are helped by heat (I have one of those neck wrpas you can put in the micorwave and when it's hot, instead of draping it around the base of my neck I hang it over the top of my head and the ends come down to right over the jaw. I hold them to my face for 2-3 minutes every morning and evening). Also I think they are related to my trismus, they often are bad in the morning after the first couple of stretches I do with my therabite (which stretch some of the same muslcesl that get styretched in a yawn)but if I don't let them deter me and keep stretching throughout the day, I don't have them ever at the end of the day.

Nelie


SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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I have them too, very, very painful.....I know it doesn't last long, but it feels like forever. I don't know of anything that helps, only that I am so happy when it ends! I still use my therabite on occasion. My new P/T told me I have about 70 percent opening of my mouth now...that is good, but I really need to keep working with the therabite, why did I go into all of that? Not sure....have a great day everybody! Carol


Diagnosed May 2002 with Stage IV tongue cancer, two lymph nodes positive. Surgery to remove 1/2 tongue, neck dissection, 35 radiation treatments. 11/2007, diagnosed with cancer of soft palate, surgery 12/14/07, jaw split. 3/24/10, cancer on tongue behind flap, need petscan, surgery scheduled 4/16/10
---update passed away 8-27-11---
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Mark,

I only have the jaw problems and have not had any muscle related problems in the neck area where they did the ND. I can't stretch the neck as far on that side and it can be stiff some days, but other than that, no cramping in the neck.

Jim


T3N2aM0 SCC right oral tongue. Partial Glosectomy, Modified Neck disection for 1 Lymph Node. Dec. 2002. 35 IMRT 2003.

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