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Head and neck cancer

Head and neck cancers develop in the mouth, throat, sinuses or nose. They may be treated with chemotherapy, radiation therapy or surgery. Reconstructive surgery may also be used to improve function and appearance.

Cancer care in Charleston, South Carolina

At Trident Health, our compassionate physicians build personalized treatment plans for head and neck cancers.

We know that a cancer diagnosis can feel overwhelming and isolating. Our multidisciplinary care team wants to support you on the path to recovery.

Related specialties

Learn more about our related specialties.

Our multidisciplinary team

Our team includes:

  • Head and neck surgeons
  • Head and neck radiation oncologists
  • Head and neck advanced nurse specialists
  • Head and neck radiologists
  • Oncologic dentist with expertise in oral cancer
  • Oral and maxillofacial pathologist
  • Other focused head and neck experts and therapists

Our head and neck team specializes in complex head and neck cancers, cancers that were treated but didn't go away or cancers that metastasized. 

Conditions we treat

Our team of physicians and specialists provides care for benign and malignant tumors in the head and neck region. We treat patients with:

  • Skin cancer (including complex skin cancers not treatable by Mohs surgery)
  • Parathyroid adenomas
  • Oral cancer
  • Throat cancer
  • Voice box cancer
  • Salivary gland tumors
  • Skull base tumors (in the sinuses, ears, eyes, or around the base of the skull) 

Our treatments and services

Our treatments aren’t one size fits all. Our multidisciplinary team uses the following treatment options to create customized care plans:

  • Surgery (including robotic and minimally invasive procedures)
  • Radiation therapy
  • Chemotherapy
  • Immunotherapy
  • Complex microvascular reconstructive surgery
  • Skull base surgery
  • Clinical trials for patients who have not had success with prior treatments
  • Cosmetic, functional, chewing and dental rehabilitation
  • Oral and maxillofacial prosthetics and prosthodontics
  • Speech and swallowing therapy
  • Survivor support
  • Weekly multidisciplinary tumor board to customize care for each patient

Our maxillofacial prosthodontics team provides dental repair and prosthetics of the teeth, jaw, nose, eyes and ears. 

Additional services we offer

Tumor boards – We host multidisciplinary tumor boards each week. Our specialists review cases and work together to create customized care plans.

Clinical trials – Our personalized treatment plans may include taking part in a clinical trial, for patients who have not had success with prior treatments.

Rehabilitation – Many of our patients need help getting back to living their lives. Our experts provide cosmetic, functional, chewing and dental rehabilitation.

Therapy – We provide speech and swallowing therapy for patients so they regain function and feel confident

Signs and symptoms of head and neck cancers

A lump in the neck

Typically, cancers that first present in the head or neck spread to the lymph nodes before spreading to other parts of the body. A lump (or lumps) in the neck can be the first sign of cancers in the mouth, throat, larynx, thyroid gland or salivary glands. See a doctor as soon as possible if a lump in the neck appears for two weeks or more.


Voice changes

The majority of cancers in a person’s voice box cause a change in their voice. Most voice changes are not caused by cancer, but if someone is hoarse or voice changes persist for more than two weeks, they need to see a doctor.


A growth in the mouth

A sore mouth or swelling in the tongue could be a sign of cancer. These sores might be painless but could still indicate a tumor or cancer. If a person has an ulcer or swelling in the mouth or tongue, along with lumps in the neck that persist for more than two weeks, it’s important to consult a physician. A doctor will determine if a biopsy performed by an ENT specialist is needed.


Bleeding

While bleeding in the mouth is usually caused by something other than cancer, in some cases, bleeding can be caused by tumors in the nose, mouth, throat or lungs.


Difficulty swallowing

Cancers that begin in the throat or esophagus can make it difficult to swallow. If a person has a problem swallowing every time they try to eat, they need to see a doctor. 


Changes in the skin

Basal cell skin cancer is the most common type of head and neck cancer. However, this type of cancer is rarely serious if diagnosed and treated early on.

Basal cell cancers typically appear on skin that is often exposed to the sun, such as the forehead, face and ears. This type of cancer usually starts as a small, pale patch on the skin that enlarges slowly.

There are other kinds of cancer that can occur on the head and neck, such as squamous cell cancer and malignant melanoma. Moles on the neck and head could also be a sign of a tumor or cancer.

Look out for moles that change size, change color or start to bleed, which may indicate cancer


Earache that does not go away

Persistent earache can be a sign of tumor growth or an infection in the throat. Visit an ENT specialist if a persistent earache is accompanied by painful swallowing, hoarseness, or a lump in the neck. 

Early detection for head and neck cancers is crucial

Tobacco use is the most preventable cause of deaths that are the result of a head or neck cancer.

Tobacco use doesn’t just include smoking. Smokeless or spit tobacco can also cause diseases and cancer of the mouth.

Additionally, e-cigarettes and vaping products may also pose health risks and should not be viewed as a “safe” alternative to smoking. Along with tobacco, alcohol is the most common cause of cancers of the mouth, throat, voice box and tongue.

According to the Centers for Disease Control and Prevention (CDC), about 70 percent of cancers of the tonsils, tongue and back of the mouth are linked to HPV. HPV is the most common sexually transmitted infection (STI) in the U.S.

The CDC states that the HPV vaccine does protect against the types of HPV that can cause oropharyngeal cancers, so it may also prevent these cancers.

If detected early, some of these head and neck cancers can be cured successfully with few side effects.

Don’t wait until symptoms get worse — talk to your doctor as soon as possible at the first sign of these head and neck cancers.

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