Question 1

What is head and neck cancer rehabilitation?

Accepted Answer

It is a comprehensive, team-based program designed to help patients recover and regain function after treatment for head and neck cancer. It focuses on addressing the physical and emotional side effects of surgery, radiation, and chemotherapy.

Question 2

Why is dental care so important before cancer treatment begins?

Accepted Answer

A thorough dental evaluation is critical. Any potential sources of infection, like failing teeth or severe gum disease, must be treated before radiation or chemotherapy, as these treatments can compromise healing and the immune system.

Question 3

What is a prosthodontist's role in rehabilitation?

Accepted Answer

A prosthodontist plays a vital role. They may create custom radiation shields to protect healthy tissue, and after surgery, they can fabricate complex prosthetics (obturators, facial prostheses) to replace missing structures and restore functions like speaking and eating.

Question 4

What are the common side effects of radiation therapy to the head and neck?

Accepted Answer

Common side effects include severe dry mouth (xerostomia), mucositis (painful mouth sores), difficulty swallowing, and an increased risk of a condition called osteoradionecrosis (bone death). Close management by a dental team is essential.

Question 5

What does swallowing therapy involve?

Accepted Answer

A speech-language pathologist will assess swallowing function and teach exercises to strengthen the muscles involved. They may also recommend dietary modifications to make swallowing safer and easier.

Question 6

How does speech therapy help after surgery?

Accepted Answer

If surgery affects the tongue, palate, or larynx, a speech therapist works with the patient on exercises to improve articulation and find new ways to produce sounds for clear speech.

Question 7

What is a neck dissection?

Accepted Answer

A neck dissection is a surgical procedure to remove lymph nodes from the neck to which cancer may have spread. It is often performed at the same time as the surgery to remove the primary tumor.

Question 8

How can I manage dry mouth after radiation?

Accepted Answer

Managing dry mouth is crucial. This involves sipping water frequently, using saliva substitutes, chewing sugar-free gum, and applying fluoride trays to protect teeth from the high risk of decay.

Question 9

What is reconstructive surgery?

Accepted Answer

After a tumor is removed, reconstructive surgery is often performed to rebuild the affected area. This can involve using tissue flaps from other parts of the body to reconstruct parts of the jaw, tongue, or face.

Question 10

Where can I find support during this process?

Accepted Answer

Support is vital. Ask your medical team about local and online support groups for head and neck cancer patients and their families. Connecting with others who have gone through a similar experience can be incredibly helpful.

Head & Neck Cancer Rehabilitation

Your Multidisciplinary Care Team

Phases of Care