Head & Neck Archives - ENT Health https://www.enthealth.org/health_and_wellness_categories/health_and_wellness-head_and_neck/ Fri, 17 May 2024 13:51:39 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.3 249128111 What You Should Know About Sinus Disease and Disorders https://www.enthealth.org/be_ent_smart/what-you-should-know-about-sinus-disease-and-disorders/ Mon, 13 Sep 2021 18:50:50 +0000 https://www.enthealth.org/?post_type=be_ent_smart&p=2275 Nasal congestion is a very common complaint and can have many different causes, including inflammation inside the nose due to allergies.

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What You Should Know About Sinus Disease and Disorders

Nasal congestion is a very common complaint and can have many different causes, including inflammation inside the nose due to allergies, or structural abnormalities such as a deviated nasal septum, turbinate blockage, or nasal polyps. Primary symptoms of rhinosinusitis, commonly known as sinusitis, may include:

  • Runny nose
  • Post-nasal drip
  • Nasal obstruction or blockage
  • Facial pressure or pain (usually not sharp)
  • Dental pain
  • Thick yellow/green mucus (colored mucus can be from many causes, including infection, acid reflux, environmental pollution, and dryness)
  • Loss of smell
  • Sinus headache (not as common)
  • Whole-body ache is less common in sinus disease, particularly for those suffering from chronic sinusitis

If nasal congestion is affecting your quality of life and you are not responding to typical medical management with saline and corticosteroid nasal sprays or allergy treatment, it is recommended that you see an ENT (ear, nose, and throat) specialist.

What Are Some Common Causes of Sinus Disease?

The average adult has two to three colds per year. They are most frequently caused by rhinovirus, and the common cold typically lasts for seven to 10 days. If cold symptoms last for more than seven to 10 days and/or symptoms worsen prior to seven days, there may be a bacterial infection often requiring antibiotics.

Acute sinus infections (symptoms lasting less than a month) are usually caused by viral upper respiratory infections (URI) and occasionally from bacterial infections. Chronic sinus disease (symptoms lasting an extended period of time) is a more complex inflammatory disorder that has multiple associated risk factors. These include asthma, aspirin sensitivity, environmental allergies, smoking, environmental or occupational irritants or pollutants, cystic fibrosis, immune deficiencies, systemic inflammatory diseases, dental infections, or anatomic abnormalities.

Having symptoms on only one side of your nose or face can be normal during an acute infection but should clear as the infection improves. If these one-sided symptoms last for longer than a normal cold, this could possibly indicate a structural abnormality of the nasal cavity such as septal deviation, nasal collapse, tumor, polyp, or dental infection. These and other severe symptoms, such as shortness of breath, debilitating pain, swollen eyes, vision changes, high fever, severely stiff neck, and/or mental confusion should be treated by an ENT specialist.

What Types of Treatments Are Available for Non-COVID-19 Nasal Symptoms?

Many over the counter (OTC) treatments for sinus congestion and drainage are helpful and available, but not all OTC treatments are good to put inside the nose. Nasal steroid sprays, oral antihistamines and decongestants, saline rinses, and menthol vapor or steam can help with allergy symptoms, such as sneezing, runny nose, itchy eyes, and/or itchy throat. Systemic steroids (oral or injected) might be given for patients with chronic sinusitis or severe allergic rhinitis. However, nasal decongestant sprays (Afrin®, Neosynephrine®) are temporary therapies that should be limited to less than one week of use, as they can become addictive and cause worsening nasal congestion.

Treatment options may vary depending on how long the symptoms have been present or how severe they are. Other conditions that can be confused with chronic rhinosinusitis (CRS), lasting three months or longer, can include:

For patients experiencing chronic symptoms of nasal obstruction and congestion, nasal drainage, facial pressure, and/or decreased smell that are not responding to medications or other treatments, a more thorough exam by an ENT specialist is recommended.

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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Vaping Is Not a Safe Alternative to Smoking https://www.enthealth.org/be_ent_smart/vaping-is-not-a-safe-alternative-to-smoking/ Sun, 18 Oct 2020 15:38:16 +0000 https://www.enthealth.org/?post_type=be_ent_smart&p=2087 Vaping, the use of electronic cigarettes (e-cigarettes) or other Electronic Nicotine Delivery Systems (ENDS), has increased in recent years compared to the use of traditional cigarettes.

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Vaping Is Not a Safe Alternative to Smoking

Vaping, the use of electronic cigarettes (e-cigarettes) or other Electronic Nicotine Delivery Systems (ENDS), has increased in recent years compared to the use of traditional cigarettes. Like traditional cigarettes, vaping has multiple harmful effects, including special concerns for young people. Despite recent regulations by the FDA, loopholes still exist that allow the sale of flavored ENDS devices to youth.

ENDS are battery-fueled devices that heat and vaporize liquid chemicals for inhalation. They are not combustion activated like regular cigarettes, but explosions and burn injuries have occurred from the lithium batteries that power the ENDS heating element. The enclosure around the battery, improper charging in the USB port, and expanding gas within the case are believed to be the most common triggers for explosions that can result in severe injuries including substantial facial burns, fractures, and/or loss of vision.

A September 2020 Centers for Disease Control and Prevention (CDC) study reported, “During September 2014–May 2020, e-cigarette sales increased by 122.2%. Sales of prefilled cartridges increased during September 2014–August 2019; since then, sales of disposable products have increased. Prefilled mint cartridge e-cigarette sales increased from September 2014 to August 2019, then decreased, as menthol sales increased during August 2019–May 2020.”

What Are the Health Risks of E-cigarettes and Vaping?

Poisoning has occurred in children from ingesting the highly concentrated nicotine found in the ENDS chamber and refill containers. These products are often marketed with colorful, attractive packaging and flavors (e.g., fruit, candy, and mint), which can be tempting to children. Nicotine poisoning in young people can result in coma, seizures, heart attack, cancer, and death.

The “e-liquids” in ENDS, even in absence of nicotine, have been shown to harm middle ear function, and e-cigarette use increases the risk of asthma attacks in youth. Furthermore, the recent (2020) use of e-cigarettes is associated with a five-fold higher risk of COVID-19 infection in a survey of adolescents and young adults, possibly due to respiratory poisoning and frequent hand-to-face touching in users.

Use of e-cigarettes in pregnancy can have multiple harmful effects on the fetus, and the harm may occur before the mother knows she is pregnant. Smoking of all types increases the risk of congenital heart defects. Nicotine exposure in utero can increase the risk of childhood and adult high blood pressure, impair the development of normal brain circuits, and is associated with pre-term births and still births.

Nicotine in e-cigarettes may affect the maturing brains of adolescents, leading to emotional disorders and increasing impulsive reactions. Nicotine is an addictive drug and may lead to addiction to other “hard” drugs.

Additional Resources

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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Falls Prevention for Older Adults https://www.enthealth.org/be_ent_smart/falls-prevention-for-older-adults/ Thu, 21 Nov 2019 16:27:29 +0000 http://www.enthealth.org/?post_type=be_ent_smart&p=1960 Falls and their resulting injuries, disability, loss of independence, and impact on family members are among the most serious health issues affecting older adults.

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Falls Prevention for Older Adults

Falls and their resulting injuries, disability, loss of independence, and impact on family members are among the most serious health issues affecting older adults. Falls also take a toll on the U.S. healthcare system overall. About $50 billion is spent every year on non-fatal fall injuries,1 according to the Centers for Disease Control and Prevention.

The increased risk for falls in the elderly can be attributed, in general, to aging and decreased activity, as well as a slow deterioration of the central nervous system (brain and balance system). For example, the sensory cells in the ears’ balance system gradually decrease in number and cannot be replaced. The nerves that carry important sensory information to the brain do not work as well, leading to problems in the way the brain processes complex motor operations. Plus, nerve endings themselves do not produce the chemicals needed for the transmission of information. This process worsens after age 50.

Other conditions and disorders common in older adults can also affect the central nervous system and balance. Hardening of the arteries, called atherosclerotic cardiovascular disease, decreases blood flow and can lead to stroke. Arthritis can cause permanent crippling effects on the bones and joints of the hips, knees, and ankles, and osteoporosis can lead to bone and muscle weakness. Together, these ailments can dramatically increase the probability of serious injury from a fall or cause a spontaneous fracture that might lead to a fall.

Finally, muscle strength gradually decreases with age while joint tendons and ligaments lose their flexibility, resulting in limited range of motion. Carrying out complex motions that were once routine can become more difficult from the combined effects of bone disease, joint disease, and inactivity.

Can Medications Contribute to Falls?

Absolutely! Often, older patients are prescribed multiple medications from multiple physicians and specialists that can have additive side effects on the brain and sensory function. Coordination of all medications through a single physician can help avoid interactions leading to adverse drug reactions. Maintain a complete list of all your medications and dosages, and make sure to share this list with every provider you see. Your list should include:

  • Over-the-counter medications, such as antihistamines, sleep aids, analgesics, and cough suppressants
  • Medications used to treat high blood pressure, heart disease, allergy, insomnia, stomach acidity, and depression
  • Medications listing alcohol as an ingredient, since it affects movement and judgment and adversely interacts with many medications
  • Vitamins, herbs, and other supplements

How Can I Recover from an Injury Caused by a Fall?

Make sure to seek immediate medical attention following any fall. A thorough and complete evaluation of sensory, muscle/joint, and balance functions should be performed. This includes a search for causes of dizziness, such as disorders of the inner ear, circulatory system, heart, and central nervous system. An evaluation of the inner ear balance system can be important, as well as a careful review of all medications (prescription and over the counter), eyeglasses, hearing aids, and more.

Head injuries, sometimes caused by falls, can damage the sensory organs in the inner ears, or the brain itself. Physical activity that is recommended and approved by your physician can assist in recovery; however, injuries to the knees, hips, and back often do not heal completely and can lead to a limited range of motion. Physical therapy can help achieve the greatest possible function.

Rehabilitation as directed by professional caregivers seeks to increase the body’s range of motion, physical strength, and balance and may include physical or vestibular (inner ear) therapy designed to reduce vertigo and dizziness, gaze instability, and/or imbalance. Walkers and canes can aid stability, while simple changes in the home, such as installing handrails in bathrooms or along walls, can help increase confidence and reduce the likelihood of another fall.

It’s also important to keep in mind that drastically changing a familiar environment can delay recovery. Including family members and home support groups improves the odds of rehabilitation. Returning to approved physical activity along with social interaction with family and community organizations help patients stay active, engaged, mentally aware, and responsive to their surroundings.

What Can I Do to Help Prevent Falls?

As problematic as they can be, falls are also predictable and preventable, even for older adults. In addition to aging, many changes in muscle, bone, and the central nervous system can be brought on by inactive lifestyles and self-inflicted damage from smoking, poor diet, lack of exercise, and other factors. Although hardening of the arteries is occasionally hereditary, in most cases it can be reduced by diets low in cholesterol and saturated fatty acids, as well as regular physical exercise.

In addition to healthy diets and habits, other health considerations include:

  • Have regular hearing and vision check-ups—if your hearing and vision are impaired, important cues that help maintain balance can be overlooked
  • Get up slowly from sitting or lying down—a momentary drop in blood pressure can cause dizziness when standing up too quickly
  • Stay active by walking—walking is a good form of exercise and can improve your strength, muscle tone, and coordination
  • Enhance your balance when moving—wear sturdy, low-heeled shoes with wide, nonslip soles; a cane or walker can help maintain balance on uneven ground or slippery surfaces; avoid ice

Beware of potentially hazardous situations in your home, such as:

  • Keep walking surfaces smooth and even—be mindful of raised doorway thresholds; rearrange furniture to keep electrical cords and other obstacles out of walking paths; secure area rugs to the floor with approved rug tape or tacks
  • Ensure appropriate lighting—put a light switch by the bedroom door and by your bed so you do not have to walk across the room to turn on a light; night lights in your bedrooms, halls, and bathrooms are very helpful
  • Install grab handles—be sure stairways and bathrooms have sturdy handrails; use nonskid mats inside and outside your shower and tub
  • Use approved shower chairs and bath benches
  • Never stand on a chair anywhere

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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Mouth Sores FAQs https://www.enthealth.org/be_ent_smart/mouth-sores-faqs/ Fri, 06 Sep 2019 13:46:10 +0000 http://www.enthealth.org/?post_type=be_ent_smart&p=1876 Mouth sores, or oral ulcers, make it painful to eat and talk. Two of the most common types of recurrent mouth sores are fever blisters, also known as cold sores, and canker sores.

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Mouth sores, or oral ulcers, make it painful to eat and talk. Two of the most common types of recurrent mouth sores are fever blisters, also known as cold sores, and canker sores. Though similar, fever blisters and canker sores have important differences.

What Are Fever Blisters?

Fever blisters start as fluid-filled sores that most often appear on the outer lip borders, gums, or roof of the mouth. Fever blisters are usually painful, with pain usually preceding the appearance of the blister by a few days. The blisters rupture within hours and then crust over, lasting about seven to 10 days.

Why Do Fever Blisters Reoccur?

Fever blisters result from reactivation of the herpes simplex virus that otherwise lives dormant in many people. Reactivation of this virus can be caused by stress, fever, trauma, hormonal changes, and exposure to sunlight. When lesions reappear, they tend to form in the same location.

Are Fever Blisters Contagious?

Yes, the time from blister rupture until the sore is completely healed is the time of greatest risk for spreading the infection. The virus can spread to the afflicted person’s eyes and genitalia, as well as to other people.

How Are Fever Blisters Treated?

If caught early, fever blisters can be treated with an oral antiviral medication, such as acyclovir, to shorten the severity and duration of symptoms. There is no current cure, but you can take certain precautions to prevent spreading fever blisters, including:

  • Avoid mucous membrane contact when a lesion is present
  • Do not squeeze, pinch, or pick the blisters
  • Wash hands carefully before touching eyes, genital area, or another person

Note: Despite all caution, it is possible to transmit herpes virus even when no blisters are present.

What Are Canker Sores?

Canker sores, also called aphthous ulcers, are different than fever blisters and are the most common type of oral ulcer. They are small, shallow ulcers with a red border and white or yellow center that occur on the tongue, soft palate, or inside the lips and cheeks. Canker sores do not occur in the roof of the mouth or the gums. They are quite painful and usually last five to 10 days.

Who Gets Canker Sores, and What Causes Them?

While canker sores are common and can develop in anyone, they are seen more often in women and young adults or teenagers. The best available evidence suggests that canker sores result from an altered immune response in the area associated with stress, trauma, illness, hormonal changes, nutritional deficiency, or irritation. Acidic foods (e.g., tomatoes, citrus fruits, and some nuts) are known to cause irritation in some patients.

Are Canker Sores Contagious? How Are They Treated?

Because bacteria or viral agents do not cause canker sores, they are not contagious and cannot be spread to other parts of the body or to other people. Treatment is directed toward relieving discomfort and guarding against infection. A topical corticosteroid preparation such as triamcinolone dental paste (Kenalog in Orabase 0.1%®) can be helpful.

When Should I See a Doctor?

Consider consulting your doctor if a mouth sore has not healed within two weeks. Mouth sores become an easy way for germs and viruses to get into the body, so it is easy for infections to develop.

People who consume alcohol, smokers, smokeless tobacco users, chemotherapy or radiation patients, bone marrow or stem cell recipients, or patients with weak immune systems should also consider having regular oral screenings by a physician. The first sign of oral cancer is a mouth sore that does not heal.

Your doctor will most likely examine your head, face, neck, lips, gums, and high-risk areas inside your mouth such as under the tongue, the front and sides of the tongue, and the roof of the mouth or soft palate. If your doctor finds a suspicious lesion, they may recommend a biopsy to remove a piece of the it to be tested.

What Are Other Types of Oral Lesions?

Many other types of lesions can be seen in the mouth including infectious or inflammatory lesions, benign (noncancerous) and precancerous tumors, cancers, and even irregularities that can be considered normal. Some examples of other oral lesions include:

Leukoplakia—Leukoplakia is a thick, white-colored patch that forms on the inside of the cheeks, gums, or tongue. These patches are caused by excess cell growth and are common among tobacco users. They can result from irritations such as ill-fitting dentures or the habit of chewing on the inside of the cheek. Leukoplakia can progress to cancer.

Candidiasis—Candidiasis, or oral thrush, is a fungal infection that occurs when yeast reproduce in large amounts. It often causes white plaques that can be scraped off to reveal tender red areas underneath. It is common among denture wearers and most often occurs in people who are very young, elderly, debilitated by disease, or who have a problem with their immune system. People who have dry mouth syndrome or use oral steroid inhalers for asthma are also susceptible to the infection. Candida may flourish after antibiotic treatment, which can decrease normal bacteria in the mouth.

Hairy tongue—Hairy tongue is a harmless condition that causes the top of the tongue to develop a furry yellow to dark brown coating. It is caused by the buildup of dead skin on tiny projections, or papillae, that cover the top of the tongue. Poor oral hygiene, chronic oral irritation, or smoking can cause this condition. Hairy tongue is often treated with a toothbrush or special tongue scraper to help remove the dead skin.

Torus palatinus—Torus palatinus is a hard, bony growth in the center of the roof of the mouth (palate).  It commonly occurs in early adulthood, more often in women. Both environmental factors, such as teeth grinding, and genetic factors may contribute to its formation. While rarely needing treatment, a torus palatinus may be removed in order to fit dentures properly.

Mucocele—Mucoceles are soft mucous-filled nodules that are commonly found on the inside of the lower lip. These usually occur from a bite to the lip that injures a minor salivary gland, causing a spillage of mucous and creating a small lump. Mucoceles can rupture or “pop” but often come back.

Oral cancerOral cancer may appear as a white or red patch of tissue in the mouth, or a small ulcer that looks like a common canker sore. Other than the lips, the most common areas for oral cancer to develop are on and under the tongue. Other symptoms include a firm lump or mass that can be felt inside the mouth or neck; pain or difficulty with swallowing, speaking, or chewing; any wart-like mass; hoarseness that lasts for more than two weeks; or any numbness in the oral/facial region.

Dental trauma—Injury to the teeth, gums and/or nearby soft tissue such as the lips and tongue can cause a mouth sore, for instance, accidentally biting the inside of your mouth or cheek.

How Can I Prevent Mouth Sores?

You can take certain steps to help prevent mouth sores including:

  • Stop smoking
  • Reduce stress
  • Avoid injury to the mouth caused by hard tooth brushing, hard foods, braces, or dentures
  • Chew slowly to avoid biting your tongue or lip
  • Practice good dental hygiene, including regular visits to the dentist
  • Eat a well-balanced diet
  • Identify and eliminate food sensitivities
  • Drink plenty of water
  • Avoid very hot food or beverages
  • Follow nutritional guidelines or talk to your doctor about the use of multivitamin supplements

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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How Can I Lower My Risk of Skin Cancer? https://www.enthealth.org/be_ent_smart/how-can-i-lower-my-risk-of-skin-cancer/ Thu, 27 Sep 2018 14:23:48 +0000 http://www.enthealth.org/?post_type=be_ent_smart&p=1190 The single most important thing you can do to lower your risk of skin cancer is to avoid direct sun exposure. Learn more about how ultraviolet (UV) radiation can damage the cells of your skin.

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How Can I Lower My Risk of Skin Cancer?

The single most important thing you can do to lower your risk of skin cancer is to avoid direct sun exposure. Sunlight produces ultraviolet (UV) radiation that can directly damage the cells of our skin. People who work outdoors are at the highest risk of developing skin cancer. The sun’s rays are the most powerful between 10:00 am and 2:00 pm, so be particularly careful during those hours. People who live in the southern U.S. are at higher risk, particularly in summer. Sunscreen products do not completely block the damaging rays, but they allow you to be in the sun longer without getting sunburn.

Tips for Lowering Your Risk of Skin Cancer

Some tips for lowering your risk of developing skin cancer include:

  • Minimize the amount of time in direct sunlight.
  • Wear hats with brims to protect your face and ears.
  • Wear long-sleeved shirts and pants to protect arms and legs (preferably clothing that has been rated for UV protection).
  • Wear sunglasses to protect your eyes.
  • Use broad spectrum sunscreen with SPF of 30 or higher. Sunscreens with zinc and titanium are the best to block the sun’s rays.
  • Sunscreen should be applied before exposure and when the skin is dry.
  • Sunscreen should be reapplied any time after going into water.
  • Consider higher SPF such as 70 or 100 if prolonged exposure is expected or on sensitive areas of the body such as the face.
  • Do NOT use tanning beds. There is no such thing as a “safe tan.”

It is also critical to recognize early signs of skin trouble. The best time to do self-examination is after a shower in front of a full-length mirror. Note any moles, birthmarks, and blemishes. Be on the alert for sores that do not heal or new nodules on the skin. If you notice anything new or unusual, see your physician right away. If you have a strong family history of skin cancer, particularly melanoma, an annual examination by a physician skilled at diagnosing skin cancer is recommended.

Catching skin cancer early can save your life.

What is the Ultraviolet (UV) Index?

The UV index provides important information to help you plan your outdoor activities and avoid overexposure to the damaging rays of the sun. Developed by the National Weather Service and the Environmental Protection Agency (EPA), the UV index is issued daily as a national service.

The UV index gives the next day’s expected amount of exposure to UV rays. The index predicts UV levels on a 0 to 10+ scale (see chart below). Always take precautions against overexposure, and take special care when the UV index predicts exposure levels of moderate and above (5 to 10+).

Index Number: Exposure Level

  • l – 2: Minimal
  • 3 – 4: Low
  • 5 – 6: Moderate
  • 7 – 9: High
  • 10+: Very High

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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50 Facts about Oral, Head and Neck Cancer https://www.enthealth.org/be_ent_smart/50-facts-about-oral-head-and-neck-cancer/ Wed, 26 Sep 2018 19:33:44 +0000 http://www.enthealth.org/?post_type=be_ent_smart&p=1179 Do you have questions or concerns about oral, head and neck cancer? Check out these 50 facts.

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50 Facts about Oral, Head and Neck Cancer

  1. “Oral, head and neck cancer” typically refers to squamous cell carcinoma of the tongue, throat, and voice box. However, “head and neck cancer” also refers to other types of cancer that arises in the nasal cavity, sinuses, lips, mouth, thyroid glands, salivary glands, throat, or voice box.
  2. Worldwide, over 550,000 new cases of oral, head and neck cancer are diagnosed each year.
  3. Approximately 110,000 people are diagnosed with oral, head and neck cancer every year in the United States.
  4. Cancers of the head and neck account for six percent of all cancers in the U.S.
  5. Sixty-six percent of the time, oral, head and neck cancers will be found as late stage three and four disease.
  6. Men are affected about twice as often as women with oral, head and neck cancer.
  7. Tobacco and alcohol use are the leading causes of mouth and voice box cancers.
  8. Cigarette smoking increases your risk of head and neck cancer by 15 times compared to a non-smoker.
  9. People who use both tobacco and alcohol are at greater risk than people who use only one or the other.
  10. Oral, head and neck cancer tends to form in the areas where tobacco and/or alcohol use has the most contact. For example, where the cigarette sits on the lip, or where the chewing tobacco is placed in the mouth.
  11. Chewing tobacco causes mouth cancer.
  12. Annually in the U.S., over 10,000 new cases of oral, head and neck cancer can be attributed to a particular strain of human papillomavirus (HPV).
  13. HPV may be related to over half of tonsil cancers.
  14. HPV is responsible for the rise in cancers of the oropharynx (tonsils and base of tongue) in younger non-smokers, and is related to oral sex. The more oral sex partners that someone has, the greater the risk of HPV cancer.
  15. Over the past 10 years, more young non-smokers have developed HPV-related cancer of the tonsils and tongue base (back of tongue).
  16. Caucasians are more likely to develop head and neck cancer, but African Americans are more likely to die from head and neck cancer.
  17. A red or white patch in the mouth or a sore throat can be the first signs of cancers of the mouth and throat.
  18. Hoarseness or a change in the voice can be the first sign of cancer of the voice box.
  19. Signs of oral, head and neck cancer include a sore in your mouth that doesn’t heal; sore throat; lumps or patches in your mouth; trouble swallowing; changes in your voice; and/or a lump in your neck.
  20. Most oral cancers form on the lips, tongue, or floor of the mouth. They may also occur inside your cheeks, on your gums, or on the roof of your mouth.
  21. Oropharyngeal cancer arises from the part of the mouth further back, toward the throat, and is different from mouth and lip cancer. Oropharyngeal cancer is often related to HPV, and occurs in the tonsils or tongue base. In contrast, oral cancers are in the mouth, and are often caused by tobacco and alcohol use.
  22. Most head and neck cancers can be prevented.
  23. Head and neck cancers often spread to the lymph nodes of the neck.
  24. Once cancer is in the lymph nodes, it is more likely to spread throughout the body.
  25. Patients with cancers treated in the early stages may have little post-treatment disfigurement or functional deficit.
  26. It is estimated that approximately $3.2 billion is spent in the United States each year on treatment of head and neck cancers.
  27. Surgery and radiation therapy are the most common treatments designed to stop the spread of cancer by killing and/or removing the cancerous cells. Chemotherapy may be added in certain situations for advanced disease.
  28. Treatment of head and neck cancers requires the assistance of many different professionals, such as otolaryngology surgeons, radiation oncologists, medical oncologists, endocrinologists, dentists, nutritionists, and speech therapists.
  29. About half of throat cancers occur in the larynx (voice box).
  30. Because of the location of head and neck cancer, it often affects breathing, eating, drinking, voice, speaking, and appearance.
  31. Fifty percent of people with head and neck cancers have very advanced cases by the time they first see a doctor.
  32. In the U.S., a new head and neck cancer case is diagnosed every 10 minutes, and a person dies from this disease every 45 minutes.
  33. If an adult has a neck mass that does not go away, a needle biopsy and/or CT scan may be necessary to diagnose the cause.
  34. Red patches in the mouth that are persistent, and do not have an obvious cause, can develop into cancer about 20 to 30 percent of the time. Removal is highly recommended.
  35. In the past two decades, the incidence of thyroid cancer has increased in all races and both sexes.
  36. Thyroid cancers account for over 55,000 new cancers each year in the U.S.
  37. Thyroid cancer is more common in women than in men.
  38. Thyroid cancer can develop in anyone, although there may be a family history or exposure to radiation involved. Salivary gland cancers also do not seem to be related to any particular cause.
  39. Only about one in 20 thyroid nodules are cancerous.
  40. In general, thyroid cancer is one of the least deadly cancers of the head and neck.
  41. The two most common types of thyroid cancer are called papillary carcinoma and follicular carcinoma.
  42. The most common type of cancer in the nasal cavity and paranasal sinuses is squamous cell carcinoma. It makes up a little over a half of the cancers in this area.
  43. Cancers of the nose and sinuses are rare; about 2,000 people develop these cancers every year.
  44. Sinus cancer should be considered when someone has frequent nose bleeds, numbness of the cheek, facial swelling, or pain.
  45. People who work in environments with dust, glues, formaldehyde, mustard gas, certain heavy metals, and radium are at higher risk for developing nose or sinus cancer.
  46. Environmental factors such as exposure to sunlight can cause skin cancer (melanoma), including cancers of the lips.
  47. Every year there are about two cases per every 100,000 people of salivary cancer.
  48. The average age that salivary cancer is found is 64.
  49. There are several different salivary glands found inside and near the mouth. Each gland is made up of several different types of salivary gland cells. Because cancer can start in any of these different types of cells or glands, salivary cancer is not just one disease. There are many different types of salivary gland cancer.
  50. Oral Head and Neck Cancer Awareness Week® (OHANCAW) can be started by anyone, in any town or clinic, and can help educate people on the early diagnosis of these cancers.

Related Conditions

The information on ENThealth.org is provided solely for educational purposes and does not represent medical advice, nor is it a substitute for seeking professional medical care.

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