Partial glossectomy

was diagnosed with tongue cancer end of May had partial glossectomy and neck dissection on June 4th 2019, the bloody cancer had gone into 3 out of the 47 lymph nodes removed but from scans the cancer has been contained locally in the neck. I am due radiotherapy soon which I’m bricking!!! Also been reading that people are still struggling to eat months post op. I am not too bad but my appetite is Poor as my stomach shrunk and I lost 3 stone (was overweight so it’s not been all bad news and I have more energy ironically) , is it normal to have a tingling sensation on post operation site of tongue. Not painful in anyway I am assuming it’s healing. They don’t seem concerned at the hospital. 

I have been given some pretty sound advice on how to protect your mouth from severe ulceration during radiation treatment so I am following said advice also rehydration of skin  before during and after treatment. Has anyone else have it in the lymph nodes?

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  • Hi nicki

    I had the same back in 2017 and my tongue still tingles, not painful either but like ive burnt it on hot food

    Hope everything is healing well and that the rest of your treatment goes well. Its tough but you will get through it

    Nat :) 

  • How long did your swelling take to go down and  yeh mine is tingling loads atm. I had my surgery 5 weeks ago I’m hell of a jumpy worrying over everything I still have to undergo radiotherapy yet , did you have that? 

  • Hi nicki

    I cant remember how long the swelling took to go down but dont think it was very long as i was back at work 4 weeks after my op on my tongue and i worked speaking on a phone at that time.

    Yeah i had chemo-radiotherapy so 6 weeks radio and chemo once a week. It was really tough as it made me very sick but everyone is different and other people i met in treatment didnt have many issues with it at all so everyone will go through it differently.

  • 5 weeks and swelling is still there my talking isn’t that great but I’ve lost a significant part of my tongue and lymph nodes my only concern is  there’s swelling and tingling around the site where the tumour was. 

  • The tumor on my tongue was very small so thats probably why my recovery was a lot quicker. Do you have any appointments coming up so you can mention your concerns and they can check the healing.

    I didnt have my neck dissection at the same time as my tongue op as was given the all clear after tongue op then they found it had spread to my lymph nodes 3 months later after a check up so maybe that could be another reason yours is taking longer to heal.

  • Hi Nicki

    i had a partial glossectomy and free flap reconstruction, plus neck dissection on 11th June. I’m now one third way of the way through radiotherapy. It had not spread to my lymph nodes so RT is to my tongue only.

    my surgeon told me the tingly tongue at the point where they cut is nerve regeneration and I believe it can last a long time. Most of the swelling went down over the course of a few days and weeks, but they also said the flap will continue to reduce in size for months, as the skin becomes thinner. Did you have a reconstruction too?

     

    selinz 

  • My husband is due to have partial glossectomy, neck dissection and reconstruction from his arm in a few weeks, would really like to chat with anyone who has had the same operation to let me know how you now are and anything you can say to help me get my husband through this, he is so worried. Thank you 

  • Hi,

    Wishing him luck I am sure he is in excellent hands to get him through surgery.

    My dad is going through the same procedure next month. Would like to know if anyone knows what the recovery process is like and how much has it impacted on speech and eating.

     

  • I had this operation in December speech is fine but I struggle with the s sound

  • Sorry for my slow reply, I missed this. Has he had the surgery yet? The first few days and weeks were tough. I had radiotherapy after which definitely set back my recovery by several months. However my speech was about 80% normal once the swelling had gone down, and 90% within a few months. 19 months or so post surgery it's about 97% normal.

     

    As for eating, I was on a liquid diet for a few weeks post surgery, and then post RT finishing, and then it slowly returned to normal. Now it's 95% - I can eat pretty much whatever I want, but spicy foods are more spicy (that's due to the RT), and certain foods I need to eat a bit more consciously - eg salad. I also eat more slowly - but that's not a bad thing!

    It was tough at the time but there are no long term effects that I would say impact my quality of life. 

Reply
  • Sorry for my slow reply, I missed this. Has he had the surgery yet? The first few days and weeks were tough. I had radiotherapy after which definitely set back my recovery by several months. However my speech was about 80% normal once the swelling had gone down, and 90% within a few months. 19 months or so post surgery it's about 97% normal.

     

    As for eating, I was on a liquid diet for a few weeks post surgery, and then post RT finishing, and then it slowly returned to normal. Now it's 95% - I can eat pretty much whatever I want, but spicy foods are more spicy (that's due to the RT), and certain foods I need to eat a bit more consciously - eg salad. I also eat more slowly - but that's not a bad thing!

    It was tough at the time but there are no long term effects that I would say impact my quality of life. 

Children
  • Hi thanks for your the response my husband had the op on Wednesday (17 hrs ) as the flap would t take fourth attempt it went ok, chest infection Friday and then Monday flap failed and had to have the op again and part of his breast used, he is still in ICU because of chest infection . It has been a horrendous week and he has been poorly, I have everything crossed he turns the corner soon he is so fed up.  It helps reading that you are ok because at the moment I am so worried 

  • Hi - very new and this is my first post as my partial glossectomy and neck disection is this Thursday - gulp.

    It's really heartening to be able to read about other experiences so I've half an idea what to expect.

    Apparently my treatment plan is going to be really aggressive so I have one question - 

    How long after surgery and getting home do they start the chemo/radiotherapy?

  • M husband has turned the corner and should be home soon. The operation part hasn't been the problem it has been pneumonia.  We won't know about radiotherapy until we get the results from pathology but have everything crossed he doesn't require it. My husband has been in hospital for 13 days now but that's because he's had two operations.

  • Hi Martin


    They will start no later than 6 weeks, but they'll want to give you a few weeks for healing before they start and likely want to see the results of pathology. 
     

    dejavu

     

    glad to hear your husband is on the mend. RT was very painful but the surgery was by far the worst part for me.

  • I had full reconstruction in April 2021 and had to go back for chemo and radiation in Jun and July.  Although a significant part of the swelling has gone down, when I talk or eat, it aggrevates my new flap and the flap/tongue swells up.  It makes talking difficult because it feels like there is a ping pong ball in my mouth.  My the end of the day, after having done limited talking and eating 3 to 5 feels, my tongue is very swollen.  My guess is the tip of my tongue is sensitive and it rubs on the back of my lower front teeth.  Has anyone experienced anything similar?  Thanks.

  • Hi All - finished my chemo/radiotherapy in May. Stopped eating mid April due to the radiotherapy and didn't start eating again until early July so I was chained to the tube feeding pump for 16 to 20 hours per day and still lost 41kgs! (Every cloud as I was 130kg on the day of my operation!

    Anyway - nearly 11 months out now, eating as much as possible and as much variety as possible, struggle with meat and salad, too dry plus they took alot of my molars out too.

    Some days I can swallow well other days struggle to swallow my tablets but other than that back to work full time, speech 97% and so conscious of how much more I talk now. Still can't roll my Rrrs (my spanish isn't that good anymore!) and have to concentrate on some words but most people I speak with don't even realise what I had to have done and my work mates just call me Frankenstein now (due to my scar from ear to ear) so all good.

    There's a whole life to live out there - let's go and get it!

    Bring on 2022 - Happy New Year all - we made it!

  • Very good Martin, excited for you.  I would die for a slice of pizza or a hamburger :-)

    I can swallow and chew but I can't eat that way.  I have to puree everything in a blender.  My tongue has no feeling right now so it doesn't know where the food is to roll it around my molars or to push it to the back of my mouth to swallow. 

    My tongue tingles so I hope this means sensation is coming back.  I also lost my saliva glands and there's a 50/50 chance they recover.  If I could chew, I could still use water to help get it down.

    I lost 20 lbs but never had to go on a feeding tube.  I have put 10 lbs back on so far.  Speech is still difficult with the swelling.  It starts off good at the beginning of the day but deteriorates as the day progresses and the swelling sets in.  I am very optimistic this will correct with time.

    All the best! 

  • Slowly slowly my friend. The recovery is a horrible journey with new experiences. My salivary glands played absolute havoc - horrible!, but seems to have settled now, I kept getting thrush on my tongue too in the first 6 months but that's all part of it.

    My graft (they took it from my arm) is on the very back of my tongue and down to the root and because of the lack of sensation I don't know where the food is in my mouth so it's confusing when to swallow and unless I concentrate hard on eating I sometimes choke but I guess that's all part of adapting to new ways of eating. I guess if I had pureed food it would be different but I'm too inpatient! Plenty of custard and ice cream is what my dietician wanted me to eat! I crave butter on everything because of the salty taste - lovely.

    I speak to someone who is 11 years out, only on the phone though, but her speech is perfect and she says as long as she has lots of gravy or sauce on her pasta then she's fine.

    The one BIG thing that this experience has taught me is patience. Its major stuff we've had to put our bodies through (I smoked for 36 years so it was my turn to pay!) but it will recover but unfortunately it takes time.

     

    I'm in Spain at the moment and eating most things that I throw at myself, full english this morning, it's cold by the time I've finished but I would have not even have contemplated that three months ago.

    It will come, as I say, not a nice journey but set yourself small goals and look back at the progress you've made - you'll get there - soon.

    Always remember we're the lucky one's - I keep putting my foot in it when asking people I haven't seen for a while 'How's........?' - I've also learned that everyone makes it so I for one, will be making the very most of it.

    Keep going, bit by bit and hopefully this will be a blot in our history.

    Catch me on WhatsApp if you fancy a proper chat?

  • Hi 

    I had a partial glasstomy and neck surgery 3 weeks tomorrow. I'm awaiting results this coming Tuesday on lymph nodes. 

    Can I ask how long was your tongue swollen for and how long did it take before you could eat normal food to a certain extent??

     

    I'm hoping I don't need further treatment