Feb 11, 2013 - 6:04 am
My mum at 55 was diagnosed with aggressive squamus cell carinoma 2 weeks ago. The tumor takes up the right nasal cavity, Right maxillary sinus, Ethmoid sinus cavity and erroded the bone between the nasal cavity and eye socket and possible nerve damage in the cheek. The ent team (ent surgeon, maxo facial surgeon, professor in maxo facial surgery) she seen first recommended major surgery invloving the removal the the right eye, right eye socket, right nasal cavity, right maxillary bone and then grafting the hole from the eye brow to the middle of the cheek with skin from the thigh after the surgery would follow with 6 wekks of radio. My mums first reaction was "well im not having surgery". "How am i suppose to live with half a face????". Having only been told a week ago she had cancer this was a lot to take on.
Rather distraught we sort a second opinion from a major hospital in sydney Royal Prince Alfred. The team of doctors involving a radiologist oncologist, head and neck surgeon that specialises in malignant nasal tumors and ent endoscopic surgeon. The endoscopic surgery they have opted for will be the removal of bone in the corner of the eye, removal of the nasal tissue (reconstructed at a later date) in the right cavity, removal of the tumor . So she may have a small skin graft in the corner of her eye if the tissue is damaged, and a slight chance that they may remove the eye, they wont know for sure until they operate. This surgery too will be followed with 6 weeks of radio. If she does loose the eye a prosthetic one can be worn in time as she will still have her eye socket. Completely different surgery, recovery time, and the important thing to her she keeps her physical appearence.
So please if possible get a second opinion!