Has anyone had surgery to remove scar tissue?

Posted by mindyt @mindyt, Oct 24, 2021

I have a lot of scar tissue from radiation leaving me with a challenged airway - it has also ratcheted down on my vocal cords taking my voice as well as painful- I live in an area that the Drs tell me to find a specialist (it’s over their heads) but the idea that I could have improvement would be incredible. I have been seen by 2 ENT surgeons in my state but I don’t think the information was there. So has anyone surviving throat cancer had radiation and surgery to remove scar tissue or anyone with some advice I don’t know where to go from here?

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Profile picture for Colleen Young, Connect Director @colleenyoung

@janetlev, I moved your post to the Head & Neck Cancer support group as per your request.

I found this information about the combined use of pentoxifylline and tocopherol (PENTO) to help prevent osteoradionecrosis (ORN):
- Pentoxifylline and tocopherol for prevention of osteoradionecrosis in patients who underwent oral surgery: A clinical audit

It sounds like you are considering this after radiation, not as a prophylatic (before to prevent) for fibrosis. Do I have that right?

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@colleenyoung yes, but Greg has swallowing issues not jaw issues as well as baroreflex issues. There is some on line evidence that the PENTO can help with this too. His voice and swallow Dr. at OHSU said it couldn’t hurt. I am looking for people who have tried it for post (15 years) radiation fibrosis.

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Profile picture for janetlev @janetlev

I am wondering if anyone on here has tried or heard of the PENTO protocol. pentoxifylline and vitamin E taken twice a day for throat fibrosis from post radiation throat cancer. Beside ORN there is some evidence that is can help with throat fibrosis as well as bareoreflex fibrosis.

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@janetlev, you might also be interested in this related discussion:
- Are you experiencing baroreflex failure? https://connect.mayoclinic.org/discussion/are-you-experiencing-baroreflex-failure/

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Profile picture for janetlev @janetlev

I am wondering if anyone on here has tried or heard of the PENTO protocol. pentoxifylline and vitamin E taken twice a day for throat fibrosis from post radiation throat cancer. Beside ORN there is some evidence that is can help with throat fibrosis as well as bareoreflex fibrosis.

Jump to this post

@janetlev, I moved your post to the Head & Neck Cancer support group as per your request.

I found this information about the combined use of pentoxifylline and tocopherol (PENTO) to help prevent osteoradionecrosis (ORN):
- Pentoxifylline and tocopherol for prevention of osteoradionecrosis in patients who underwent oral surgery: A clinical audit

It sounds like you are considering this after radiation, not as a prophylatic (before to prevent) for fibrosis. Do I have that right?

REPLY
Profile picture for harleytiger @harleytiger

@speseas Me too. I have the same problem. My neck feels like I have a bungee chord attached from my skull to my top rib. I have hard places in there as well. Mobility is a big problem. Did you have radiation? I think mine is radiation fibrosis. I'm currently going to a great PT who is doing great work on my neck. He believes he can make it much better. Hopefully he's right? I know he works it very well. He said red light hasn't been proven to work and the cost of those machines are so expensive that most PT locations don't have them.

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@harleytiger this company provides compression devices to use at home for lymphedema. They have found in addition to reducing swelling, Flexitouch is clinically shown to soften fibrotic tissue—a common complication in head and neck cancer survivors—with 97% of patients reporting softer tissue after use.
It may be worth checking out. https://tactilemedical.com/our-lymphedema-solutions/for-head-and-neck/

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I am wondering if anyone on here has tried or heard of the PENTO protocol. pentoxifylline and vitamin E taken twice a day for throat fibrosis from post radiation throat cancer. Beside ORN there is some evidence that is can help with throat fibrosis as well as bareoreflex fibrosis.

REPLY
Profile picture for mazkat @mazkat

I'm almost 2 years out from chemo and radiation treatment for tonsil cancer. It was first discovered by a swelling on my neck from a brachial cyst. They first removed that from the outside of my neck, then discovered cancer cells in it and removed my tonsil. There are now 2 smallish lumps along my surgery scar on the outside of my neck. I inly noticed them 3 weeks ago. My ENT says they're most likely scar tissue and don't touch them. I've asked for an ultrasound but he says no, just wait a few months to see. Should I wait?

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@mazkat I would get a second opinion.

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Profile picture for ponygirlnd @ponygirlnd

@mazkat get another doctor!!! Right away 😢

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@ponygirlnd do you really think so?

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Profile picture for mazkat @mazkat

I'm almost 2 years out from chemo and radiation treatment for tonsil cancer. It was first discovered by a swelling on my neck from a brachial cyst. They first removed that from the outside of my neck, then discovered cancer cells in it and removed my tonsil. There are now 2 smallish lumps along my surgery scar on the outside of my neck. I inly noticed them 3 weeks ago. My ENT says they're most likely scar tissue and don't touch them. I've asked for an ultrasound but he says no, just wait a few months to see. Should I wait?

Jump to this post

@mazkat get another doctor!!! Right away 😢

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I'm almost 2 years out from chemo and radiation treatment for tonsil cancer. It was first discovered by a swelling on my neck from a brachial cyst. They first removed that from the outside of my neck, then discovered cancer cells in it and removed my tonsil. There are now 2 smallish lumps along my surgery scar on the outside of my neck. I inly noticed them 3 weeks ago. My ENT says they're most likely scar tissue and don't touch them. I've asked for an ultrasound but he says no, just wait a few months to see. Should I wait?

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I was treated for my SCC with radiation and chemo. Like many of us, the radiation caused fibrosis and tightening in my neck. To ease the fibrosis and to return some of the mobility, I had a surgery called fat grafting. Prior to the surgery, I began Botox injections in my neck, which which helped on their own. Then I had the fat grafting surgery where they remove fat, in my case my stomach, and inject it into my neck. During that surgery, they also "cut "some some of the fibrous chords in my neck. The net result of these two treatments is near normal movement in my neck, and almost no pain.

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