What should I do about edema from radiation therapy for throat cancer?

Written by Li Rui
Otolaryngology
Updated on December 22, 2024
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After radiotherapy for laryngeal cancer, or during the process of radiotherapy, edema may occur, mainly mucosal edema in the pharyngeal region, and some patients may also experience swelling of the soft tissues in the neck. In such cases, it is recommended to visit an otolaryngology department where a laryngoscopy and routine blood tests can be conducted to help assess the severity of the condition. Generally, nebulizer therapy can be chosen. If there is an accompanying acute bacterial inflammation, antibiotics may need to be considered. Most patients will see a gradual reduction in the degree of swelling after timely medication treatment, but overall, complete recovery requires a relatively long period of time.

Other Voices

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Written by Li Rui
Otolaryngology
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Dietary considerations for laryngeal cancer

Patients with throat cancer need to pay attention to the following aspects in their diet: First, it is recommended to adhere to a light diet, avoiding particularly greasy foods and opting for high-protein, low-fat foods. Second, it is recommended to eat soft or semi-liquid foods, and avoid particularly hard foods, as hard foods may cause swallowing obstructions and potentially damage the mucous membranes of the throat. Third, it is advised not to eat cured products and to reduce the intake of salty foods, as these foods may exacerbate the condition of throat cancer and potentially lead to cancer in other parts of the body.

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Written by Liu Liang
Oncology
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The difference between esophageal cancer and laryngeal cancer

Esophageal cancer and laryngeal cancer are both malignant tumors. Esophageal cancer refers to the malignant tumor occurring in the esophagus, while laryngeal cancer refers to the malignant tumor occurring in the larynx. Therefore, their tumor locations are different. The pathology of both is generally squamous cell carcinoma. The main symptom of esophageal cancer is obstructed eating; patients will feel difficulty swallowing, obstruction, and worsening of these symptoms as they eat. The primary symptom of laryngeal cancer is typically a hoarse voice, which distinguishes the symptoms of the two cancers.

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Written by Xu Qing Tian
Otolaryngology
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What foods should be eaten for throat cancer?

Laryngeal cancer is a common malignant tumor in everyday life. In the early stages, patients with laryngeal cancer usually experience symptoms such as hoarseness, coughing, and a foreign body sensation. In the middle and late stages, patients may suffer from breathing difficulties or even choking, as well as swallowing difficulties. When symptoms of laryngeal cancer appear, we should initially complete examinations with an electronic laryngoscopy, laryngeal CT scan, and pathological biopsy to determine the pathological type of the patient, to confirm the diagnosis. At the same time, we should pay attention to a light diet, primarily warm, cold, and semi-liquid foods, and avoid smoking and drinking alcohol. Additionally, we should detect tumors early and treat them promptly through surgery.

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Written by Li Rui
Otolaryngology
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Is a tracheotomy necessary for laryngeal cancer?

Most patients with laryngeal cancer need to undergo a tracheotomy. Only a small number of early-stage laryngeal cancer cases might consider temporarily avoiding a tracheotomy. If it's an early-stage vocal cord or glottic laryngeal cancer, especially in T1 cases, many might consider minimally invasive surgery under endoscopic support, which typically involves using a laser for surgical removal. After such procedures, the glottis is relatively wider, which reduces the likelihood of breathing difficulties or asphyxiation, and in these cases, a tracheotomy might temporarily not be necessary. If the lesion is extensive, categorized as middle to late-stage, or if there is a need for laryngotomy, all these situations require a tracheotomy to ensure effective breathing and prevent airway obstruction. Severe cases could lead to asphyxiation or even be life-threatening.

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Written by Li Rui
Otolaryngology
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Is throat cancer prone to recurrence?

Throat cancer indeed may recur, but the specific chances and extent of recurrence vary greatly among individuals. Generally speaking, the probability of recurrence is much lower in early-stage throat cancer compared to mid and late stages. For early-stage throat cancer, surgery or radiotherapy is primarily recommended. The first two years are very critical; if there is no recurrence within two years, the likelihood of recurrence is relatively smaller. Then, the next milestone is five years; the five-year survival rate is very significant. If there is no recurrence within five years, it can generally meet the criteria for clinical cure. However, even after five years, a small portion of patients might still experience recurrence, hence the necessity to persist with long-term follow-up examinations.