Osteoradionecrosis of the Temporal Bone

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Hi, I had a mucoepidermoid carcinoma in my right parotid gland removed in December 2023, followed by 6 weeks of radiotherapy in March/April 2024 to zap the few bits that they couldn't remove surgically, I had 65.1Gy over 30 days.

My recovery was going really well until late 2024 when I started to get fatigue, and ear ache; this worsened over the months and after several CT and MRI scans. At first it was diagnosed as Chronic Mastoiditis by ENT, but after referral to Otology I was told that it was actually Osteoradionecronis of Temporal Bone, however as at the moment it wasn't serious enough for any intervention and should be managed with pain relief.

I was warned that radiotherapy could effect the bone structure of the jaw in some cases when it damages the blood supply causing areas to die off; but I wasn't aware the it could happen to other areas. 

I have tried to find out information about this condition, but it seems hard to find, I now know that it's abbreviated to the acronym TBORN, but other than results of long term studies at a hospital in Texas, there don't seem to be any guidelines available for patients. The study I found said that minor cases should be managed with pain relief and careful washing of the effected ear. I am trying different painkillers at the moment with my GP to find the right combination, but I would still like to know a bit more about this condition, which appears to be an uncommon one.

Do MacMillan have any information that you could share with me please?

Kind Regards

NickyW

  • Good morning NickyW

    Thanks for reaching out to our online community. My name is Sarah one of the cancer information nurses.

    I hope you are finding our head and neck cancer forum supportive.

    I am sorry to read that since 2024 you have been struggling with symptoms of fatigue and pain after surgery and radiotherapy for cancer of the parotid gland. It sounds like it has taken a while to get a confirmed diagnosis of Osteoradionecrosis to explain these symptoms.

    Macmillan has information on the late effects of treatment but not specifically on Osteoradionecrosis. You may find it helpful to reach out to other charities such as Radiotherapy UK. They have information on understanding late effects for patients and their families. Other websites include Head and Neck Cancer UK or The Swallows charity. It can help to reach out to others going through a similar experience and to share resources.

    There are late effects clinics across the country some of which you can find here. Your GP can refer you. These clinics are supported by a variety of clinical health professionals to help manage symptoms such as pain. They may be able to help with more information about this rare condition.

    I hope this information helps. Please feel free to get back in touch if you want more information and support.

     

    Best wishes,

    Sarah

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref/ SS/AC

    Sarah S-Macmillan Cancer Information Nurse Specialist
  • Hi Sarah,

    Many thanks for your advice, I will contact the organisations that you've suggested.

    Kind Regards

    NickyW