Your Journey With Us


►  Your treatment
►  Your support 
►  Your choices


From Diagnosis to Aftercare


Your recovery requires care, diligence, compassion, planning, resources, research, specialist skills, good management and teamwork!

►  Your first consultation

Your first consultation will probably be made on the recommendation of your doctor, although you can contact us directly if you wish.

Our  aim is to find out about you, your lifestyle and your symptoms so that we will know which further tests are required - if any. You will receive an examination, but this first visit will feel more like an interview than an examination. 

► Neck lumps, lesions in the mouth and unexplained soreness

There is a wide range of possible causes, tests will probably be needed to arrive at a diagnosis. Although cancer is a common worry,  most tumours or growths that we see are benign.  If this is the case then your treatment will mostly involve surgery without radiation or chemotherapy being necessary.

For images and detail of medical conditions, please use the link on the right, courtesy of  BAOMS (British Association of Oral & Maxillofacial Surgeons)

► If Cancer is Diagnosed

A cancer diagnosis is a possibility. There are different types of cancer which can start in the mouth, nose, throat, salivary glands, or neck. The most common types are mouth cancer and thyroid cancer. 

Head and neck cancers are usually treated with surgery, chemotherapy, radiotherapy or a combination of the three. The main aim is to remove or destroy all of it and provide a cure. But there are other aims such as reducing the long term effects of treatment and maintaining your quality of life. This involves key decisions on the amount of surgery and which methods can be used. 

► Cancer Types and Treatment - Video



The video gives a good outline description of the diagnosis and treatment of head and neck cancer.  It was commissioned by the BAOMS, is narrated by Mr Sat Parmar and produced by MSD.  
 

► Planning your treatment 

You will be assigned a key worker while you are with us - a clinical nurse specialist. They are a key component in the care team and have a very important role. Whereas several experts on your team may not remain involved at all stages, it is the job of the key worker to co-ordinate your care from diagnosis to the completion of aftercare.  Key worker support services can include psychological support from trained counsellors, and a range of complementary therapies.


►  Ongoing Support and Aftercare

Rehabilitation and follow-up after treatment are as important as the treatment itself. Rehabilitation may also require the expertise of a team of specialists that include dentists and prosthedontists, tracheostomy care nurses, speech pathologists and physical therapists.

Patients who have finished treatment will be monitored for varying periods of time to check the recovery process, or in the case of cancer, to check for any signs that it has returned or become active again.

► Counselling and Therapy

Our counselling service is available to the patient's partner and family. This patient-focused approach, awarded Macmillan Cancer Support status, can help lead to a shorter stay and faster healing times.

Complementary therapies such as massage, aromatherapy, reflexology or reiki, are used to supplement patients' medical treatment with the aim of relieving stress, aches and pains. The sessions last for up to an hour.  In-patients and day-patients can have an unlimited number of short reflexology or reiki treatment

Depending on the treatment given, patients may also choose from a range of holistic services to help them feel comfortable and relaxed 

►  Recommended Links



     



     

     

     

     


►  Cancer Risk Factors

There are many risk factors, but the most common are alcohol and tobacco. Head and neck cancer is associated with both. Most people who are diagnosed with oral cancer are tobacco users. People who drink a lot of alcohol - particularly spirits - on a regular basis are also much more likely to get cancer than non-drinkers. For people who both drink and smoke, the risk is compounded when alcohol and tobacco are used together.



►  Warning Signs and Symptoms of Oral Cancer 

Although survival rates and treatment methods are improving, the incidence of cancer is increasing in the adult population (US & UK

• A painless white or red patch on the lining of the mouth which remains after two weeks.
• Any painless lump in the mouth, tongue, throat or neck.
• Mouth or lip sores that don’t heal for at least two weeks.
• A persistent sore throat.
• Difficulty with swallowing without an obvious reason.
• Hoarseness - ongoing



►  Small Steps That Can Make a Big Difference

Very early symptoms of cancer are often painless and easy to miss. Perform a self-examination in front of your mirror once a month. - preferably with the aid of a small torch! Early diagnosis is by far the most important factor contributing towards a favourable outcome.

Neck: Feel both sides of your neck and under your jaw for areas of tenderness or lumps. Do both sides have the same symmetry?
Lips: Pull out each lip and look for sores or color changes on lips or gums. Besides looking, feel for sub-surface lumps. (Early tumours are often painless and can be missed)
Cheeks: Look inside your cheek for sores or color changes. Feel for lumps.
Gums: Pull back your upper lip and examine your gum line to spot any discolouration or sores. Try to check the gums behind the teeth.
Tongue: Try to stick your tongue out as far as you can and do your best to hold it!
Pull your tongue from side to side, look at the surface for color changes, sores or bumps. Try to hold your tongue up and look for colour changes, sores and bumps under your tongue
Palate: Tilt your head back and look at the roof of your mouth. Look for sores, bumps, or color changes in the tissue.  
  

     










The Multi-Disciplinary Team

Your care plan requires a coordinated, patient-centered effort from a team of
specialists. Depending on your diagnosis, the team may include surgical oncologists
with expertise in head and neck and reconstructive surgery, medical oncologists,
radiologists, radiation oncologists, nurses, speech pathologists, physical therapists,
schedulers, physician assistants, medical assistants, dentists, prosthodontists and
social workers.

They will meet at least once every week to discuss the diagnosis and assess your
progress once your treatment plan starts. A team-based approach means that the
full range of specialist skills is available to implement each stage of a patient's
individual care plan. 


The consultants are in turn supported by nursing staff, social care professionals
and patient liaison administrators.



Team Members


Nicholas Kalavrezos
Chair, MDT team, The Harley Street Clinic



© Copyright 2021/26 N Kalavrezos  London Head & Neck Ltd