March 31, 2023 Word for Word Media

Jocelyn Moodley tells us about her miracle surgery after being diagnosed with salivary gland adenoid cystic carcinoma and how living was far more important than her facial appearance.

You can listen to this article below, or by using your favourite podcast player at pod.link/oncologybuddies

Jocelyn Moodley (50) lives in Alberton, Gauteng with her husband. They have three adult children. Bump on palate In November 2005, Jocelyn felt a slight bump on her palate. When she went to a GP, he couldn’t see it, so he referred her to a dentist as he thought it was overgrowth of wisdom teeth….

March 31, 2023 Word for Word Media

You can listen to this articles below, or by using your favourite podcast player at pod.link/oncologybuddies

ENT surgeon, Dr Mark Torres-Holmes, expands on salivary gland cancer and why a skilled surgeon is imperative to avoid nerve damage. Function of salivary glands We have both major and minor salivary glands secreting saliva into the mouth. The minor salivary glands are many, about 8000, and are single salivary units which open directly into the mouth, mostly situated on the inside lips, cheeks, hard and soft palates. We call the major ones major because they are both bigger than the minor ones…

March 24, 2022 Word for Word Media
Cancer Heroes, a support group for head and neck cancer (HNC) patients and their families, inform us of the common questions that are asked by patients. What is HNC? HNC is a grouping of regional cancer incidents collectively known as head and neck cancer. They most commonly start with abnormal and uncontrolled growth of the squamous cells that line the mucosal surfaces of the head and neck area, like your mouth, throat, and voice box. They can also start in the salivary or parotid glands, sinus cavities, muscles, nerves and jaws in the head and neck region. It’s interesting that brain cancer isn’t regarded…

March 29, 2021 Word for Word Media
Dr Mark Torres-Holmes expands on swallowing difficulties in head and neck cancer and when the use of feeding tubes is required. Swallowing (deglutition) is a complex sequence of events, that when it goes wrong can cause significant morbidity (suffering). Cancer in sites like the mouth, pharynx (throat) and larynx (voice box) can result in difficulty swallowing. The treatments for head and neck cancer often involve surgery, radiation and chemotherapy, or combinations thereof, and any of these treatments can also cause difficulty swallowing.  Swallowing basics Swallowing is divided into four stages: oral preparatory, oral transfer, pharyngeal and oesophageal phases that…

March 29, 2021 Word for Word Media
Professional golfer, Robert Tilbury, shares the many battles and ongoing victories head and neck cancer brought him. Robert Tilbury (52) lives in Kempton Park, Gauteng. He has two daughters, Melissa and Dominique, and a grandson, Milan. Diagnosis In 2014, a lump starting to form under Rob’s jawline. After a doctor’s visit, he was put on antibiotics as the GP thought it could be glandular fever. However, the lump was still there and had gotten bigger after the course was completed. This is when Rob opted to go for a biopsy. “In November 2014, the biopsy diagnosed metastasised Stage 4 squamous cell carcinoma of the…

March 20, 2020 Word for Word Media
Andrew Hunter tells us about life after a laryngectomy: how he learnt to communicate with a tracheoesophageal voice prosthesis and recently via oesophageal speech. Andrew Hunter (59) lives in Soweto, Gauteng. He is divorced and has two adult children. Diagnosis In 2012, Andrew who had been smoking for over 20 years and drank occasionally on weekends, started to develop flu-like symptoms. His voice became croaky and deterioratedand his throat was dry and painful. He went to see a doctor who referred him to Chris Hani Baragwanath Academic Hospital. After numerous tests, including a biopsy, Andrew was diagnosed with cancer of the…

March 20, 2020 Word for Word Media
Azra Hoosen educates us on how a speech therapist supports and empowers head and neck cancer patients with speech, voice, communication and swallowing difficulties. Many patients diagnosed with head and neck cancer may present with speech, communication, voice or swallowing difficulties which hugely impact activities of daily living and quality of life.  A speech therapist is a health professional that is involved in the screening, assessment and ongoing management of individuals with the abovementioned difficulties. Assessment, treatment and beyond The speech therapist will assist with the following areas of assessment: Providing education and counselling regarding anticipated changes in communication and swallowing. Providing counselling prior to surgical procedures….

March 20, 2020 Word for Word Media
Dr Chris Joseph, an ear, nose and throat surgeon, outlines what a laryngectomy surgical procedure entails, when it is needed and the effects of it. A total laryngectomy is the complete removal of the larynx. When a portion of the larynx is removed, it’s called a partial laryngectomy. The function of the larynx The larynx functions as a valve to prevent food and liquids from entering the trachea and lungs during swallowing. It’s also necessary for normal voice and speech as it houses the voice box.  Its cartilaginous framework or “Adams Apple” can be seen and felt in the neck. When and why…

November 27, 2019 Word for Word Media
Dr Mariza Tunmer informs us about the common side effects experienced by patients undergoing radiotherapy for head and neck cancers. One of the treatment modalities that may be used to treat head and neck cancers is radiotherapy.  For patients requiring a long course  of radiotherapy, usually over six to seven weeks, often chemotherapy is combined with radiotherapy. The chemotherapy may be given once a week or every three weeks, depending on the chosen dosing-schedule. Radiotherapy and the combination of chemotherapy with radiotherapy may result in significant side effects and it’s important to know what to expect before starting treatment. Early or acute…

December 3, 2018 Word for Word Media
Dr Johann Kluge educates us on laryngeal cancer. Laryngeal cancer is a type of throat cancer that affects your larynx (voice box). The larynx contains cartilage and muscles that enable you to talk and prevents food from entering the lungs. This type of cancer can damage your voice.  The most common type of larynx cancer is squamous cell carcinoma (SCC) and entails  85-95% of all malignant lesions.  The larynx is divided in three parts (see below): Larynx Anatomical Description Incidence Supraglottis Above the vocal cords 35% Glottis The level of the vocal cords 60% Subglottis Below the vocal cords…

July 27, 2018 Word for Word Media
We learn about the different types of salivary gland tumours, both benign and malignant. Salivary gland tumours are rare cancers in the head and neck region. They can develop in any of the different sub-regions of the head and neck, with the most frequent (80-85%) encountered in the parotid. The parotids are the largest of the salivary glands, located just in front and below the ears. Parotid gland tumours are often benign (non-cancerous) (75%). Tumours arising from the submandibular gland, sublingual gland, or the minor salivary glands are usually more likely   to be malignant (cancerous).  The most common…

June 1, 2018 Word for Word Media
Dr Johann Kluge explains the causes, symptoms and treatment of mouth cancer. Mouth (oral cavity) cancer is a subdivision in the head and neck region. The mouth is confined by the anatomical borders that stretch from the lips (anteriorly) to include the tongue, floor of the mouth, cheeks, hard palate and gums (or gingiva). What is the incidence of mouth cancer? It’s the 11th most common malignancy. More than 90% of cancerous growths  in the mouth are squamous cell carcinomas, with the remainder being rarer tumours or tumours developing from the small salivary glands. Current oral cancer  statistics (US data): Overall…