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Oral cancer

Bringing you comprehensive information about different types of Oral Cancer

Oral cancer

Bringing you comprehensive information about different types of Oral Cancer

AOI > Cancer Types > Oral Cancer > Rehabilitation & Follow-up Care

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    Rehabilitation & Follow-up Care

    What is oral cancer follow-up care?
    Rehabilitation is an essential aspect of post-treatment follow-up care for oral cancer. People may need physical and speech therapy, and therapy to swallow. Palliative care can be recommended for managing symptoms and for maintaining nutrition during and after treatment.

    A patient can have issues with their ability to chew and pass food through the digestive system depending on the size and location of the tumor and the type of cancer treatment used. People treated for oral or oropharyngeal cancer may have long-term problems with the swallowing. To avoid these issues from occurring it is important that they continue to swallow their saliva and as much food as they can during the treatment. During treatment and immediately after treatment special nutritional care and support is also needed. Many people may need to learn new ways of eating or preparing specific foods. Working with a speech-language specialist and a registered dietitian can be of great help. Listen to a podcast about managing eating challenges after treatment.

    When the treatment for cancer affects oral structures or restricts movement, it may affect the ability of a patient to speak. Speech-language pathologists can help patients resume their speech and swallow functions. Patients treated for oral or oropharyngeal cancer may look different, may feel exhausted and may not be able to talk or eat the way they did before treatment. They can experience swelling in this area called lymphedema. The health care team will help patients adapt and interact with physical as well as emotional support services.

    Don’t wait until your next scheduled appointment to report any new symptoms and symptoms that don’t go away. Tell your healthcare team if you have:

    • Pain
    • Difficulty opening the jaw (called trismus)
    • Discharge from the wound
    • Difficulty chewing, speaking or swallowing
    • Changes in vision, hearing or taste
    • Any new lump or swelling in the mouth or neck
    • Weight loss

    How do you recover post oral cancer treatment?

    Screening for Oral cancer Recurrence

    Patients treated for oral or oropharyngeal cancer should be given routine medical and dental follow-up tests to check for symptoms of recurrent cancer or a new form of cancer. Most recurrences of oral and oropharyngeal cancer occur within the first two to three years of diagnosis, so follow-up visits will be more frequent in the years immediately following treatment.

    A doctor who is familiar with your medical background will give you detailed information about the recurrence risk during the follow-up care. Your health care provider will ask specific questions about your health. Some people may have oral cancer blood tests or imaging tests done as part of regular follow-up care, but recommendations for testing depend on several factors including the type and stage of cancer that was originally diagnosed and the types of treatment given.

    Your physician may do a physical examination including:

    • Checking voice and speech problems, and evaluating speech and hearing
    • Looking across the mouth
    • Feeling lymph nodes (cervical lymph nodes) in the neck
    • Examining teeth for any signs of decay
    • To look inside the nose using an endoscope

    Tests are often part of follow-up care. You may have:

    • X-ray in the chest to test the lungs
    • Blood tests to check the thyroid-stimulating hormone (TSH) levels and monitor thyroid function to the neck after radiation therapy
    • Imaging tests (CT scan, MRI scan, PET scan) to discover signs of disease or cancer (recurrence)

    General Health and Cancer Screening

    There are certain recommendations for the patients recovering from oral cancer for good health, such as maintaining a healthy weight, physical fitness, avoid smoking, eating a balanced diet including.

    • Ensure that you eat more fruits, vegetables, whole grains and legumes. Limit the amount of foods and beverages that are high in calories and less saturated fat
    • Be physically active (150 minutes of moderate or 75 minutes of intense exercise per week)
      Get strength training exercise for a minimum of 2 days per week to retain and build strength
    • Limit alcohol consumption to not more than one drink in a day
    • Quit smoking or use only certain types of tobacco

    Talk to your doctor or other health-care team member to help you develop the best exercise plan, eating plan, and cancer screening schedule. Also, talk to your health care team about resources to help you quit if you are smoking or using tobacco.

    Managing Long-term Side Effects

    Most people while undergoing treatment tend to experience side effects. Nevertheless, survivors still find it troubling that certain side effects that persist beyond the treatment period. Some are considered as long-term side effects. Other side effects which are called late effects can develop months or even years later. Long-term and late effects may include physical as well as emotional changes.

    Talk to your doctor if you experience any of the following side effects:

    • Changes in your skin that look like a sunburn
    • Changes in taste
    • Pain, sores, or redness in the mouth
    • Dryness of the mouth
    • Hoarseness
    • Weakening of teeth

    Surgical and radiation therapy used to treat oral and oropharyngeal cancer may affect the thyroid gland of a person. If treatment could have affected your thyroid gland, then thyroid function tests should be part of your follow-up care to see if thyroid hormone medication is needed. You may also need special dental care to manage or prevent long-term dental problems.

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