Treatment for Head and Neck Cancer

Treatment for head and neck cancer depends on several factors, including the type of cancer, its size and stage, its location and your overall health. Surgery, radiation therapy and chemotherapy are the mainstays of treating head and neck cancers.

Doctors Tonnesen, Bajaj and Kanani have particular interest and expertise in the treatment of head and neck cancers with advanced, cutting-edge radiation technologies including Trilogy® based IMRT and helical TomoTherapy® based IMRT at our Inova TomoTherapy® Center. We strive to provide our patients with the most comprehensive, multidisciplinary care for head and neck cancers working with a highly skilled team comprised of:

  • Radiation Oncologists
  • Medical Oncologists (Chemotherapy Doctors)
  • Otolaryngologists (ENT Doctors)
  • Speech & Language Pathologists
  • Radiologists and Nuclear Medicine Physicians
  • Gastroenterologists
  • Dental Oncologists
  • Nutritionists and Dieticians
  • Oncology Nurses
  • Social Workers

Diagram of the structures of the mouth and throat. Head and neck cancers include cancer cells in any of these areas.

For many head and neck cancers, combining two or three types of treatments may be most effective. That’s why it is important to talk with several cancer specialists about your care, including a surgeon, a radiation oncologist and a medical oncologist.

An important concept in treating head and neck cancers is organ preservation. An organ preservation approach uses radiation and sometimes chemotherapy to shrink or completely eliminate the tumor. This can allow some patients to avoid the need for surgery.

Back to Top

External Beam Radiation Therapy

  • Radiation therapy treatments are delivered in a series of painless daily sessions.
  • Treatments are usually scheduled Monday through Friday, for five to eight weeks. However, your radiation oncologist may schedule your treatments more or less often depending on your cancer.
  • Three-dimensional conformal radiotherapy (3D-CRT) combines multiple radiation treatment fields to deliver precise doses of radiation to the affected area.
  • Intensity modulated radiation therapy (IMRT) is a form of 3D-CRT that further modifies the radiation by varying the intensity of each radiation beam. This allows a precise adjustment of radiation doses to the tissue within the target area. At ROA, we are pleased to offer Trilogy® and TomoTherapy® technologies for IMRT delivery. These units allow us to deliver precisely modulated radiation treatment with the added advantage of daily image guidance (IGRT). Your ROA physician will discuss if these approaches to therapy are suitable in your case.
  • Targeted treatments like 3D-CRT and IMRT help get radiation to the cancer and avoid healthy tissue nearby. This may help avoid side effects like changes in your saliva.
  • To help you keep still during treatment, your doctor may use a plastic mask over your head and shoulders. This device has holes so you can see and breathe through it, is specially designed to fit snugly on you. Wearing the mask doesn’t hurt.
  • Chemotherapy is medication that treats cancer. It is often given in addition to radiation therapy to help cure your cancer. Ask your doctor whether you will be receiving chemotherapy and about any side effects to expect.

Back to Top

Possible Side Effects

  • Side effects of radiation therapy are limited to the area that is receiving treatment.
  • Side effects can include redness of the skin, sore mouth and throat, dry mouth, thick phlegm, alteration of taste, pain on swallowing and hair loss on your head, neck and face. Fatigue, or feeling tired, is also very common.
  • The way foods taste and the amount of saliva you produce should improve after treatment ends. However, foods may never taste exactly as they did before treatment.
  • Side effects are different for each patient. Medications may be prescribed to make you as comfortable as possible. Nutritional supplements may be given to help prevent weight loss.
  • If at any time during your treatment you feel discomfort, tell your doctor or nurse. They can prescribe medicine to help you feel better.

Back to Top

Dental Care During Treatment

  • It is very important to take care of your teeth during and after treatment. Radiation therapy to the head and neck area may increase your chances of mouth infections and tooth decay.
  • Before staring radiation therapy, see your dentist. He or she will also want to see you during your treatment to help you care for your mouth.
  • Careful brushing of your teeth can help prevent tooth decay, gum disease and jaw infections. Use a fluoride toothpaste without abrasives.
  • Floss gently between your teeth daily using waxed, non-shredding dental floss.
  • It may help to rinse daily with a salt and baking soda solution.
  • Your dentist may suggest applying fluoride to your teeth regularly.
  • Treat the skin exposed to radiation with special care. Stay out of the sun, avoid hot or cold packs, only use lotions on your skin after checking with your doctor or nurse and clean the area with warm water and mild soap. We often have special lotions we can provide for you during your treatment.
  • Battling Cancer is tough. Seek out help from support groups and friends.