Improving Quality of Life After Nasopharyngeal Cancer: Hearing Loss and More

Q: Improving Quality of Life After Nasopharyngeal Cancer: Hearing Loss and More

Jerry： The almost complete deafness resulting from radiation therapy is indeed frustrating. <br>It is primarily due to the damage caused by radiation to the auditory nerve, leading to hearing loss. <br>Wearing hearing aids can help, but they are effective only if the auditory ner

Improvement of Sequelae from Nasopharyngeal Carcinoma

Hello! I underwent radiation therapy for nasopharyngeal cancer 10 years ago.
Due to the side effects of the radiation, I have gradually lost my hearing, and my current hearing loss exceeds 110 decibels, rendering me almost completely deaf.
Are there any advanced hearing aids available that could improve my hearing? If I were to get a cochlear implant, would it risk the spread of cancer cells? Additionally, I experience yellow, purulent nasal discharge that blocks my nasal passages daily.
I rinse my nose with saline twice a day, but I still feel that some remains stuck inside.
Are there any effective remedies for this? Lastly, is nasopharyngeal cancer contagious? Thank you!

jerry, 50~59 year old female. Ask Date: 2000/11/16

Dr. Wu Yuxin reply Otolaryngology

Jerry: The almost complete deafness resulting from radiation therapy is indeed frustrating.
It is primarily due to the damage caused by radiation to the auditory nerve, leading to hearing loss.
Wearing hearing aids can help, but they are effective only if the auditory nerve is not completely destroyed.
As for cochlear implants, they do not cause the spread of cancer cells.
The presence of yellow, purulent nasal discharge daily should prompt an examination for chronic sinusitis.
If diagnosed, treatment for sinusitis, such as oral medications or sinus surgery, would be the effective curative approach.
Regarding the causes of nasopharyngeal carcinoma, part of it is related to previous infection with the Epstein-Barr virus; another part is regional, as seen in people from Guangdong, which is said to be associated with a diet high in salted fish.
However, nasopharyngeal carcinoma itself is not contagious.

Reply Date: 2000/11/16

More Info

Improving Quality of Life After Nasopharyngeal Cancer: Hearing Loss and More
Hello! Thank you for reaching out with your concerns regarding the aftereffects of nasopharyngeal cancer treatment. It’s understandable to seek solutions for the challenges you are facing, especially with significant hearing loss and nasal issues. Let’s address your questions one by one.

Hearing Loss and Hearing Aids:
Given that you have experienced severe hearing loss (over 110 decibels), traditional hearing aids may not be sufficient. However, there are advanced hearing devices available that could potentially help. Bone-anchored hearing aids (BAHA) or cochlear implants are options worth considering. Cochlear implants, in particular, can provide a sense of sound for individuals with profound hearing loss. They work by bypassing damaged portions of the ear and directly stimulating the auditory nerve.
Regarding your concern about whether cochlear implants could lead to cancer cell spread, current medical evidence does not support this. Cochlear implants are generally considered safe for patients with a history of nasopharyngeal cancer. However, it is crucial to have a thorough discussion with your oncologist and an ear, nose, and throat (ENT) specialist to evaluate your specific situation, including any potential risks based on your medical history.

Nasal Congestion and Sinus Issues:
The persistent yellowish nasal discharge and blockage you are experiencing could be due to chronic sinusitis, which is not uncommon after radiation therapy. While saline rinses are beneficial, they may not completely clear out thick mucus or debris. Here are a few additional strategies you might consider:
1. Nasal Steroid Sprays: These can reduce inflammation in the nasal passages and may help with mucus drainage.

2. Steam Inhalation: Inhaling steam can help loosen mucus and relieve congestion.

3. Hydration: Staying well-hydrated can thin mucus, making it easier to expel.

4. Consultation with an ENT Specialist: If symptoms persist, it may be necessary to see an ENT specialist for further evaluation. They may recommend additional treatments, such as prescription medications or procedures to clear the sinuses.

Transmission of Nasopharyngeal Cancer:
It’s important to clarify that nasopharyngeal cancer is not contagious. It is a type of cancer that arises from the epithelial cells of the nasopharynx and is influenced by various factors, including genetic predisposition and environmental exposures (such as Epstein-Barr virus infection). While the virus itself can be transmitted, the cancer that may develop from it is not spread from person to person.

Quality of Life Considerations:
Improving your quality of life after cancer treatment involves addressing both physical and emotional well-being. Here are some additional suggestions:
- Support Groups: Connecting with others who have similar experiences can provide emotional support and practical advice.

- Nutritional Support: If you have difficulty eating due to nasal congestion or other issues, consider consulting a nutritionist who specializes in oncology to ensure you are meeting your nutritional needs.

- Physical Therapy: If you experience any physical limitations due to treatment, a physical therapist can help you regain strength and mobility.

In conclusion, while the challenges you face are significant, there are various options available to improve your quality of life. It is essential to work closely with your healthcare team to explore these options and tailor a plan that suits your needs. Please do not hesitate to seek further medical advice and support as you navigate this journey.

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