7 Months on from Maxillectomy

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Hi I was diagnosed with a radiation induced sarcoma to the junction of the hard and soft palate in the summer of 2025. This was my third mouth cancer and I had the tumour removed via a maxillectomy in October with the insertion of a skin flap from my thigh. Unfortunately this failed while in hospital and I underwent a 2nd 12 hour operation to replace this with a flap and artery from my forearm. I was discharged after 3 weeks including a 10 day ICU stay.

Some 7 months later I am still using my PEG as I can no longer swallow to eat or drink despite exercises using EMST. In addition I have trismus which hasn't improved much with the use of a therabite.

I've taken the decision to stop trying to eat or drink for the moment at least as even if my swallow did improve I would not be able to get much into my mouth because of the poor mouth opening.

My speech thankfully has improved although using the phone is extremely difficult and stressful as people at the other end cannot understand me. Thankfully I found a speech assistant app to help with this and try to use online chat as much as possible when dealing with companies.

I am still finding though that I get tired easily. Dog walks tend to be shorter and gardening is now in a series of short bouts.

Overseas holidays are now out due to the amount of liquid food I would have to take with me. I've bought a motorhome so that I can still get away but take sufficient quantities of food with me and I'm loving that.

Mentally I'm OK but I was wondering whether anybody else had been through similar surgery and whether they had experienced a similar recovery and side effects.

  • Hi PathHill. You have been through a lot and you sound as though you are coping really well given the circumstances. You have adapted to such a difficult circumstance and are still getting out there and living your life so congratulations. It is not easy and means a lot of problem solving and adapting. My path is similar to yours and I found too that adapting was a big part of getting back to enjoying my life again. I have had 3 ops for jaw cancer starting in 2013 and 2 lots of radiotherapy. A partial mandibulectomy and 2 maxillectomies in 2019 and 2022. I have many of the issues that you mention but am fortunately still able to eat although only puree and have to drink thickened fluids or I cough a lot. It has its own issues as it is almost impossible for me to eat out as there is nothing suitable on the menu and when I have asked if a soup could be pureed for me the answers is usually a no. I still go out to eat with family but sometimes take my own food with me and just enjoy the social aspects of the meal.I often don't eat at all when I am out but just take thickened water with me.  I also cough a lot when I try and talk and eat so prefer solitary meals. My holidays as yours are normally with self catering accommodation. It takes a bit of thinking through as I also have to pack my own food when we are on the road but in the main has worked out fine. What a good idea getting a motorhome as that should solve a lot of the issues around eating for you. I have managed a 3 week trip to Tasmania (I live in Australia) using self catering accommodation and also one to Canberra. I am launching out (literally) and trying a cruise to Vanuatu with my daughter. This is a bit of a gamble for me as I have been told that they can puree my food onboard but when I am off the boat the food issue may be a problem. I am taking enough supplies to make up my own food to take onshore with me so fingers crossed that will work out O.K. as I have read that one of the rules is that you can't take food off the ship. My speech has improved over time and mostly now I have very few issues when using the phone. Sometimes the person on the other end has trouble understanding a word and then I have to resort to 'its E for egg ' as that is one sound I have a bit of an issue with. The sound of my voice is quite nasal now quite different to before my maxillectomies. 

    Mostly now I have adapted to the changes and have problem solved so I can manage things. It is still a bit of a trial at times but there is no option as 'it is what it is' and I want to enjoy my life and not waste it. I too have to take physical activities like gardening in short bouts but it still gets done.

    I congratulate you on getting on with your life. It is not easy but it is worth it.

    Best wishes to you

    Lyn

    Sophie66

  • Hi Lyn/Sophie Wow you have been through a lot and thanks for taking the time to reply.

    I used to love eating out and going to the local pub to meet friends or just to have a quiet drink. I still go to the pub occasionally to meet friends but it's not the same. The motorhome at least is getting me out and about across the UK. I'm planning a trip to France and Spain to see friends later in the year - a big adventure for a solo 60s guy.

    It seems like a lot of adaptation is needed and I'm still adjusting. Some days are harder than others. I guess it will take a while.

    Gareth
  • Hi Gareth. Yes it does take a while to adjust and there are still good and bad days. I have been on the cancer journey for quite some time now so have had longer to work on it. I started out with day trips then worked up to weekends away and eventually longer trips. My confidence built up that way. Still miss my favourite foods and sometimes I dream that I am eating a sandwich and wake up thinking if I just tried harder but then reality sets in. I still enjoy the aromas of different foods and sometimes ask my husband if I can just have a sniff of what he is eating and then it reminds me of how it tasted. I am a bit of a junkie that way. On the whole though things are fine, it's just a different way of life. 

    Your trip to France and Spain sounds great. You are adventurous. I would be a bit nervous finding my way around a strange country. However I suppose with GPS it is not so daunting. I am sure you will have a great time meeting up with old friends. 

    All the best

    Lyn

    Sophie66