Tongue cancer op - difficulty afterwards

Hi all,

I was diagnosed with tongue cancer at the age of 27 with a 1 year old daughter  

I had a neck dissection and they rebuilt my tongue using skin and a nerve from my arm. I also had chemo and radiotherapy. Everything was very sore and tender at the beginning but thankfully I have healed ok.

I have some feeling back in my face but none near my ear etc which I was told is absolutely normal. I have also got full use back in my mouth and tongue thankfully and can taste food etc.

Now my main issue is I can not move my arm/shoulder after a certain height. I have visited a physio but with no joy. I have recently undergone a EMG and they have found I no longer have an accessory nerve. 
 

Just wondering if anyone else has had a similar experience and what happened next as I'm now worried I may lose use in my arm.

Thankyou so much 

Hollie

  • Hi Hollie and thanks so much for posting.

    As you have mentioned the numbness near you ear is normal and may improve  with time. 

    The accessory nerve controls shoulder movement. So if the surgeon removes it, your shoulder will become stiffer and more difficult to move. Raising your arm over your head on that side can also become more difficult.

    After a selective neck dissection, the weakness in your arm usually lasts only for a few months. But if the surgeon completely removes your accessory nerve, the damage is permanent. Usually, you see a physiotherapist, who teaches you exercises to help improve the movement in your neck and shoulder. It is important to do these exercises regularly.

    Some people still have problems with pain and movement a year after surgery, despite doing their exercises. If this happens, your surgeon may refer you to a shoulder surgery specialist.  You could contact your team to ask about this, or speak to your specialist nurse if you have one.

    I hope this is helpful, please get back to us if you need any more information or support.  We have a nurse helpline you can call on Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Best wishes

    Rachel

  • Thankyou so much for your reply. Unfortunately it has been 8 years since my surgery and the pain and movement has worsened. 
    Could you send me any information for a specialist or how I go about sorting this?

    I am currently under a orthopaedic dr who has referred me for EMG test but that's all. Is there more I can do?

    Thanks

    Hollie

  • Hi Hollie and thanks for getting back to us again,

    We can't recommend a specialist but you may find it helpful to look at our resource page which has different organisations that you may find helpful to contact here

    There are details of organisations such as The Mouth Cancer Foundation and Head and Neck Cancer UK (HANCUK).  HANCUK is set up by cancer specialists' and patients affected by head and neck cancers.

    You have posted in 'Ask The Nurses' but if you post on another thread you may find that you get more posts.

    I can understand how frustrating this must be particularly as it is 8 years down the line. Sometimes it can be helpful talking to others in a similar situation.

    You are of course more then welcome to give one of the helpline nurses a ring to discuss any any of this. We are here Monday to Friday 9am to 5pm and our number is Freephone 0808 800 4040.

    Very Best Wishes,

    Catherine