Stage III Oral Cancer
Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes.
I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September.
Currently, I am in rehabilitation for mouth opening, but despite my efforts to stretch my mouth, there has been no progress.
The maximum width I can open my mouth remains at 1.5 cm.
I would like to know if there are any other methods to improve my mouth opening width to 3 cm.
At the moment, I can only consume porridge and nutritional supplements, and my physical fitness and weight are not improving.
Mr. Wu, 30~39 year old female. Ask Date: 2023/11/19
Dr. Chen Sirong reply Oncology
Mr.
Wu / 35 years old / Male.
I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth).
This means to practice more.
Of course, it doesn't mean you should bite down on it while at work or out, but it would be better if you could hold it in your mouth while sleeping.
Wishing you good health.
Taoyuan Hospital, Dr.
Chen Sih-Rong.
Reply Date: 2023/11/19
More Info
Improving mouth opening after stage III oral cancer treatment can be a challenging process, especially following extensive surgeries and radiation therapy. It's essential to approach this rehabilitation with patience and a structured plan. Here are some tips and techniques that may help you improve your mouth opening:
1. Consult with a Specialist
Before starting any rehabilitation exercises, it's crucial to consult with your healthcare provider or a speech-language pathologist who specializes in oral rehabilitation. They can provide personalized guidance based on your specific condition and recovery progress.
2. Gentle Stretching Exercises
Start with gentle stretching exercises to gradually increase your mouth opening. Here are some steps to follow:
- Warm-Up: Begin with warm compresses on your jaw area to relax the muscles.
- Finger Stretch: Use your fingers to gently stretch your mouth open. Start with one finger and gradually add more fingers as tolerated. Aim for three fingers in width, but do not force it.
- Jaw Movements: Practice moving your jaw side to side and up and down without forcing it. This can help improve flexibility.
3. Use of a Tongue Depressor or Bite Sticks
You can use a tongue depressor or specially designed bite sticks to help gradually increase your mouth opening:
- Start with a thin tongue depressor and place it between your teeth. Hold it for a few seconds, then remove it.
- Gradually increase the thickness of the depressor as your mouth opening improves. Aim to hold it for longer periods each day.
4. Therapeutic Devices
Consider using therapeutic devices like a jaw exerciser or a mouth opening device. These can provide consistent and gentle pressure to help stretch the muscles and tissues around your jaw.
5. Regular Practice
Consistency is key. Aim to practice these exercises several times a day, ideally 3-5 times for about 5-10 minutes each session. Keeping a daily log of your progress can help you stay motivated and provide valuable information to your healthcare provider.
6. Pain Management
Since you are currently taking muscle relaxants and pain medications, ensure that you manage any discomfort effectively. Pain can inhibit your ability to perform exercises, so discuss with your doctor if your pain management plan needs adjustment.
7. Dietary Adjustments
While you are working on improving your mouth opening, focus on a diet that is easy to consume. Soft foods, smoothies, and nutritional supplements can help maintain your nutrition and energy levels. As your mouth opening improves, gradually introduce more solid foods.
8. Hydration and Oral Care
Maintain good oral hygiene to prevent infections, especially after surgery. Rinse your mouth with a saline solution or a prescribed mouthwash to keep your mouth clean. Staying hydrated is also essential for overall health and can help with tissue healing.
9. Patience and Support
Recovery can take time, and it's important to be patient with yourself. Seek support from family, friends, or support groups for individuals undergoing similar treatments. Sharing experiences can provide emotional support and practical tips.
Conclusion
Improving mouth opening after stage III oral cancer treatment requires a multifaceted approach that includes gentle stretching exercises, the use of therapeutic devices, and consistent practice. Always work closely with your healthcare team to tailor a rehabilitation plan that suits your needs. Remember, progress may be slow, but with dedication and the right strategies, you can achieve your goal of increasing your mouth opening.
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