Tuesday, May 5, 2015

For Patients and Families

Dr. Ha with a patient

Johns Hopkins Head & Neck Surgery offers a host of minimally invasive procedures including:
  • Advanced Skin Cancer Surgery
  • GBMC's da Vinci® Robotic Surgery Treatment
  • Diagnostic Ultrasound
  • Endoscopic Laser Resection of Laryngeal Tumors
  • Laryngectomy
  • Management of head and neck premalignancy
  • Mandibulectomy
  • Melanoma Surgery
  • Minimally Invasive Skull Base Surgery
  • Neck Dissection
  • Parathyroidectomy
  • Parotidectomy
  • Salivary Gland Surgery
  • Sentinel Lymph Node Mapping and Biopsy
  • State-of-the-art video endoscopic instrumentation including flexible endoscopy
  • Thyroidectomy
  • Tracheo-Esophogeal Puncture
  • Transnasal Esophagoscopy
  • Transoral Robotic Surgery
Johns Hopkins Head & Neck Surgery team work hand-in-hand with the multidisciplinary team of professionals at the Milton J. Dance, Jr. Head and Neck Center to ensure a coordinated plan of care for patients with head and neck conditions.

Patients and their families receive education and counseling during every stage of care. Individual and group support services are provided by a team that consists of speech-language pathologists, head and neck nurse specialist, oncology social workers and a registered dietitian.

Multidisciplinary team services provided by the Milton J. Dance, Jr. Head & Neck Center include:
  • Head and Neck Nursing
  • Oncology Social Work
  • Speech Pathology Services
  • Nutritional Counseling
  • Oral Pathology/Oral Medicine
  • Maxillofacial Pathology

Monday, March 23, 2015

Defeating Cancer and Giving Back

In 2010, I was diagnosed with stage 3 throat cancer and my local primary care physician referred me to Dr. Califano at the Dance Center at GBMC. In preparation for my treatment, Dr. Califano admitted me to GBMC to perform several procedures: relocation of my left salivary gland from the submandibular to under my chin, a surgical biopsy and insertion of a feeding tube. Read more...

Friday, February 27, 2015

Post Operative Symptoms / Difficulty Swallowing

In August of this year I underwent cervical laminectomy and fusion. The left side of my throat has a sensation of something being stuck when I swallow. All tests come up clear of any obstruction. Would this just leave a muscle or nerve problem? It definitely interferes with my breathing and at times more than at others. Physical activity seems to exacerbate the problem, especially if it involves using my arms lifting or pushing. Is it possible that this, with time, will ease and allow my breathing to become easier?

Barbara Messing, MA, CCC-SLP, BCS-S replies...

Thank you for posting your question to our Head and Neck Q&A forum.

The symptoms you describe are commonly listed as potential post operative symptoms that may occur up to several weeks post operatively. For persistent symptoms as you have described: difficulty breathing and the sensation of something stuck in your throat when you swallow [tightness in throat, difficulty swallowing] are symptoms that should be reevaluated by your surgeon. If difficulty breathing and tightness in your throat worsens, you should seek immediate medical assistance or call 911.

In general terms, your symptoms may be related to post operative edema/swelling, nerve injury or mechanical factors from the fusion/plate. A Modified Barium Swallow Study performed by a Speech Pathologist and Radiologist is recommended to evaluate your swallow function and assess potential impact of structural changes. Endoscopy should be performed to visualize your throat [hypopharynx]. This can be performed by a Speech Pathologist and/or an Otolaryngologist/Laryngologist [Flexible Endoscopic Evaluation .

I recommend you go to this website for further information: http://www.csrs.org/patients/printed-materials/.  There you will find patient materials that may be helpful to you.

I also recommend that you follow up with your surgeon for additional information and possible further evaluation.

Barbara Messing, MA, CCC-SLP, BCS-S
Clinical Specialist in Head & Neck Rehabilitation
Board Certified in Swallowing and Swallowing Disorders

Thursday, January 22, 2015


Tasty Tuesdays:  Oncology Nutrition Lecture and Cooking Demonstration

As cancer treatment continues or comes to an end, you may wonder what foods you should be eating.  It may be time to develop new lifestyle behaviors in regard to nutrition and physical activity.  Join in for a monthly lecture and discussion on the importance of nutrition and physical activity in cancer recovery and prevention.  Each month, a new topic is discussed.  Topics range from choosing whole foods, sugars and sweeteners, understanding food labels and nutrition claims, use of supplements, etc.

Sessions begin at 12 pm in Physicians Pavilion West,
Third Floor Conference Room
February 10, 2015Supplements: Are they Beneficial?
March 10, 2015Food Labeling and Health Claims
April 14, 2015Meat:  How Much is too Much?
May 12, 2015Is Grilling Safe?
Sept. 8, 2015Sugar Substitutes & High Fructose Corn Syrup
October 13, 2015Good Fat vs. Bad Fat
Nov. 10, 2015Probiotics:  What Are They?
December 8, 2015Nutrition for Brain Health

This is a free patient service open to patients and family members of the Milton J. Dance, Jr. Head and Neck Center and the Sandra and Malcolm Berman Cancer Institute and Breast Center at GBMC.  Light fare and refreshments are served and parking is complimentary. To reserve your spot, please call:  Keri Ryniak, RD, CSO, CNSD at 443-849-8186.

Monday, January 12, 2015

Head and Neck Cancer

What are some of the risk factors for head and neck cancer?

There are a variety of risk factors for head and neck cancers. Age and lifestyle, such as alcohol and tobacco use, are the most important. However, risk factors can vary, depending on the type of cancer.

What are some of the warning signs of head and neck cancer?

Warning signs usually depend on the location of the cancer. Signs can include a sore on the lip or in the mouth that won't go away, a lump on the lip or in the mouth, difficulty or pain with swallowing or chewing and change in voice or hoarseness.

Is there a risk of disfigurement with head and neck surgery?

Reconstruction may be a part of the treatment plan and your physician will discuss treatment options with you before the surgery takes place.

Visit the Johns Hopkins Head and Neck Surgery website for more information.