I have had surgery, radiation and chemotherapy for head and neck cancer. One eye and half of my face droops. I have been cancer free for 4 years. I was told that I cannot have surgery because of the nerve damage and muscle removal and that radiation changes skin healing properties. What can I do to improve this condition?
July 25, 2014
Answer: Facial paralysis It sounds like you may have suffered from facial paralysis from injury to the facial nerve branches. Surgeries to improve the sequelae from facial nerve injuries have been well described and should be considered in your case. Strategies include surgeries to reanimate the face or static procedures to improve symmetry. Radiation changes to the skin can limit your options but a safe set of procedures should be able to improve your situation. Best wishes!
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July 25, 2014
Answer: Facial paralysis It sounds like you may have suffered from facial paralysis from injury to the facial nerve branches. Surgeries to improve the sequelae from facial nerve injuries have been well described and should be considered in your case. Strategies include surgeries to reanimate the face or static procedures to improve symmetry. Radiation changes to the skin can limit your options but a safe set of procedures should be able to improve your situation. Best wishes!
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July 25, 2014
Answer: How to resolve facial sagging post cancer treatment? I would not rule out surgery to improve symmetry or facial shape. You would need to be evaluated by a Facial Plastic Surgeon. The important questions are what type of radiation/ surgery you have undergone as well as whether surgery can achieve your goals. In many cases this is possible. I've recommended a Facial Plastic Surgeon because they have performed the head and neck cancer and reconstructive surgeries that you've undergone and understand how those procedures can change your underlying anatomy. Facial Plastic Surgeons typically also have experience with operating on many patients who have undergone head and neck irradiation. It is possible that you might also have Plastic Surgeons in your area that have this skillset. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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July 25, 2014
Answer: How to resolve facial sagging post cancer treatment? I would not rule out surgery to improve symmetry or facial shape. You would need to be evaluated by a Facial Plastic Surgeon. The important questions are what type of radiation/ surgery you have undergone as well as whether surgery can achieve your goals. In many cases this is possible. I've recommended a Facial Plastic Surgeon because they have performed the head and neck cancer and reconstructive surgeries that you've undergone and understand how those procedures can change your underlying anatomy. Facial Plastic Surgeons typically also have experience with operating on many patients who have undergone head and neck irradiation. It is possible that you might also have Plastic Surgeons in your area that have this skillset. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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