Head and Neck Cancer Program at Providence Cancer Institute of Orange County

At Providence Cancer Institute of Orange County, we’re here for you throughout your entire cancer care journey.

Head and neck cancer often requires more complex treatments, so we provide access to services – including free tissue transfer surgery – that meet your specific needs and help keep you as comfortable as possible.

4.9   |  5,459 Ratings

Head and Neck Cancer Program at Providence Cancer Institute of Orange County

At Providence Cancer Institute of Orange County, we’re here for you throughout your entire cancer care journey.

Head and neck cancer often requires more complex treatments, so we provide access to services – including free tissue transfer surgery – that meet your specific needs and help keep you as comfortable as possible.

4.9   |  5,459 Ratings

Our Approach to Head and Neck Cancer Care

We believe that you receive better cancer care when we work as a team – especially if you or a loved one are navigating head and neck cancer treatment. Your well-rounded cancer care team includes specialists with different areas of expertise, such as head and neck surgeons, medical oncologists, radiation oncologists, dental oncologists and others.

We have experience treating all different types of head and neck cancer. If you’re not sure where to start, that’s very normal. We’re here to explain your options, let you know what to expect, schedule appointments, help you find supportive services and answer all your questions.

Head and Neck Cancer Conditions We Treat

We focus on treating patients with different types of head and neck cancer, including:

  • Laryngeal cancer
  • Nasal cancer
  • Nasopharyngeal cancer
  • Oropharyngeal cancer
  • Oral cancer
  • Salivary gland cancer

We also treat conditions related to head and neck cancer, such as:

  • Skin cancers on the head or neck
  • Thyroid cancer
  • Vocal cord dysfunction
Our Doctors

Meet Our Expert Cancer Team

At the Providence Orange County Cancer Institute, our multi-disciplinary team is committed to providing expert care to every patient. We work together to deliver a personalized approach to prevention and treatment, supporting you at every stage. With our collaborative expertise, you receive dedicated guidance and compassionate support throughout your journey.

Doctor sitting with patient
Doctor with senior patient smiling appointment

Regular NavDX Testing for Better Monitoring

Your doctors use many diagnostic and prognostic tools to learn which therapies work best to treat your cancer. Depending on your cancer type and your specific tumor, they may recommend NavDX. This innovative, more sensitive blood testing technique helps us closely monitor your cancer during and after treatment.

NavDX is an advanced therapy available at select Providence locations.

Services and Treatments

Every patient’s head and neck cancer is unique, so your treatment must be personalized, too. Our team of doctors collaborate with you, developing an individualized care plan that likely includes a combination of the following:

Medical oncology uses systemic therapies that travel through the bloodstream to treat cancer that has spread to other areas of the body or has a high risk of spreading. Sophisticated genetic analysis allows some of these therapies to target specific DNA mutations that cause cancer cells to develop and grow.

Adjuvant chemotherapy is treatment given after your main therapy, often surgery, to help destroy any cancer cells that may still be in the body. The goal is to lower the chance of cancer recurrence.

Learn more about chemotherapy

Immunotherapy boosts or restores the body’s natural defenses. Cellular therapies, stem cell transplants and biologic therapies use your own cells to fight disease and support recovery.

Learn more about immunotherapy

Molecularly targeted therapy uses drugs – including oral and intravenous (IV) biologics – to target specific molecules that allow cancer to grow. This therapy enables personalized treatment for patients, especially those who carry certain genetic mutations or abnormalities.

You receive neoadjuvant chemotherapy before your main treatment to help improve outcomes. Starting treatment earlier can sometimes shrink a tumor, make surgery less complex or lower the risk of cancer spreading. For some patients, it may also help reduce long-term side effects or lower the risk of complications, especially if lymph nodes are involved.

Learn more about chemotherapy

Surgical therapies involve an operation or procedure to remove cancer from the body. Surgery may be the main treatment for some invasive cancers, but it’s only one part of the entire treatment plan.

Auriculectomy is the surgical removal of part or all of the outer ear while preserving as much healthy tissue as possible.

Composite resection of mandible is the surgical removal of part of the jawbone along with surrounding tissues to ensure the tumor is removed completely.

Endoscopic medial maxillectomy is a minimally invasive procedure that removes tumors from the nasal cavity or sinuses while preserving as much healthy tissue as possible. Using an endoscope, surgeons access the affected area through the nostrils, avoiding external incisions. This approach helps reduce your discomfort and shorten your recovery time.

Excision is the surgical removal of skin cancer along with a margin of healthy tissue to help ensure that all cancerous cells are removed. For early-stage or low-risk cancers, a simple excision removes the lesion with minimal impact on the surrounding skin. For more advanced or high-risk cases, such as melanoma, a wide excision removes a larger area to reduce the risk of recurrence. Both effectively treat cancer while preserving as much healthy skin and function as possible.

Excision is the surgical removal of the submandibular gland, located beneath the jaw. Your surgeon carefully removes the gland while protecting nearby nerves to preserve speech, swallowing and facial movement to support your comfort and recovery.

Free tissue transfer, also known as microvascular surgery, is a complex surgical procedure to remove a tumor and repair the affected area. After the tumor removal, your surgeon takes healthy tissue from another part of your body – often the forearm, thigh, back, abdomen and/or lower leg – referred to as a free flap. The type of tissue the surgeon takes depends on the type of repair you need, and could be skin, fat, muscle, bone, fascia or cartilage. Using a microscope, the surgeon reattaches the tissue and the tiny blood vessels using very fine sutures to restore function, appearance and quality of life.

While free tissue transfer can be used for many types of cancer, it’s particularly useful if you have throat or mouth cancer because it allows surgeons to reconstruct areas that might affect speech, chewing or swallowing.

Glossectomy is the surgical removal of part or all of the tongue while focusing on preserving function as much as possible.

A partial glossectomy removes only the affected area, while a total glossectomy may be necessary for more advanced cases. Depending on the extent of the procedure, reconstruction and speech therapy can help restore speaking and swallowing abilities, ensuring the best possible recovery and quality of life.

Laryngectomy is surgical removal of some or all of the larynx, or voice box.

A partial laryngectomy removes only the affected area while keeping the remaining structures intact to preserve as much of your speech and swallowing function as possible and allow for a more natural voice and breathing.

A total laryngectomy removes the voice box to treat advanced cancer, permanently redirecting your breathing through a small opening in the neck called a stoma. While this procedure changes how you speak, options like voice prosthetics or speech therapy can help you communicate.

Local rotation flap surgery helps reconstruct areas where tissue has been removed during cancer treatment. By rotating nearby healthy skin and tissue to cover the affected area, this technique preserves blood supply and promotes healing. It’s often used in facial or neck reconstruction to restore appearance and function while minimizing the need for more complex procedures.

Mandibulectomy is the surgical removal of part or all of the lower jaw while preserving as much function as possible. Depending on the extent of the procedure, you may also have reconstruction – possibly using bone from another part of the body – to restore your appearance, speech and chewing ability.

Marginal resection of mandible is the surgical removal of cancerous growths in the floor of the mouth that have spread to the jawbone. Your surgeon carefully removes only the affected portion of the jawbone to preserve its overall shape and stability, which helps maintain your speech, chewing and facial structure.

Maxillectomy is the surgical removal of part or all of the upper jaw to treat cancer while preserving as much function as possible.

A partial maxillectomy removes only the affected area to preserve as much function as possible, while a total maxillectomy – used for more advanced cases – removes the entire upper jaw. Depending on the extent of the surgery, reconstruction or a prosthesis may help restore your speech, chewing and facial structure.

Modified radical neck dissection – also known as a lymphadenectomy – is the surgical removal of lymph nodes from the neck to treat or prevent the spread of cancer while preserving your muscles, nerves and blood vessels whenever possible. By targeting affected lymph nodes, this surgery helps reduce the risk of cancer recurrence while maintaining function in your neck, shoulders and face.

Orbital exenteration is the surgical removal of the eye and surrounding tissues to treat advanced cancers of the eye or nearby structures. While this procedure is extensive, reconstruction options, including prosthetics, can help restore your facial appearance and eye function.

Parotidectomy is the surgical removal of part or all of the parotid gland – the largest salivary gland. Your surgeon works to remove the affected tissue while carefully protecting the facial nerves that control movement. This helps preserve your ability to smile, speak and eat comfortably.

Pedicled myocutaneous flap is a reconstructive surgery in which tissue, muscle and connective tissue called fascia are moved from one area of the body to reconstruct another area. Because the tissue stays connected to its original blood supply, it often heals more naturally. This approach is often used for head and neck reconstruction because it helps restore both function and appearance.

A pharyngectomy is the surgical removal of part or all of the pharynx – the part of the throat behind your mouth and nasal cavity. The surgeon works to preserve as much function as possible. Depending on the extent of your surgery, reconstruction may help restore your ease of swallowing and speech capabilities.

A rhinectomy is the surgical removal of part or all of the nose to treat cancer while focusing on both your health and appearance. Depending on the extent of the surgery, reconstruction or a prosthesis can help restore your function and facial symmetry.

Selective neck dissection – also known as a lymphadenectomy – removes specific lymph nodes from the neck to treat or prevent the spread of cancer while preserving your muscles, nerves and blood vessels. By targeting only the affected areas, it helps reduce your recovery time and maintain as much natural function as possible.

Transoral laser resection is a minimally invasive procedure that uses a laser to precisely remove tumors from the throat or voice box through the mouth, avoiding visible external incisions. By targeting only the affected tissue, this approach helps preserve your speech, swallowing and breathing while potentially shortening your recovery time.

Transoral robotic surgery (TORS) is a minimally invasive procedure that removes tumors in hard-to-reach areas without any external incisions because the instruments are inserted through your mouth. TORS uses advanced technology to help your surgeon precisely locate and remove tumors, mostly in the head and neck, and repair nearby tissue.

Since there are no external incisions to remove the tumor, recovery is typically quicker, with less pain and no visible scarring.

Radiation is effective in killing cancer cells and shrinking tumors. It can be used alone or in combination with other cancer treatments.

3DCRT uses 3D planning and CT imaging to better target tumors and cancerous areas and improve the outcome of radiation treatment. It also limits the damage to healthy tissue, potentially decreasing risks like infection and minimizing side effects.

Learn more about three-dimensional conformal radiation therapy (3DCRT)

Patient Resources & Support

Doctor speaking with patient

Get a second opinion from our world-class cancer experts, so that you can make important decisions about your treatment plan and move forward with confidence. Our web page will walk you through the next steps and let you know how to prepare for your appointment.

Doctor using a telescope

Are you looking for a clinical trial, either for yourself or a patient? Currently, Providence Cancer Institute of Orange County is involved in over 100 ongoing clinical trials.

Doctor with patient smiling test results

We offer comprehensive support services – including oncology nurse navigators, transportation services and financial counseling – to help you and your loved ones throughout your cancer journey.

Frequently Asked Questions

Cancer is considered a head and neck cancer if it forms in the larynx, throat, salivary glands, sinuses or mouth.

Head and neck cancers are often, but not always, caused by exposure to toxins like alcohol or tobacco.

The treatment process for head and neck cancer often has multiple steps and forms of treatment.

Your treatment will be unique to you, but may involve surgery, as many as 30+ radiation treatments and/or weekly chemotherapy sessions.

Your care team goes over everything with you and is available to answer questions. Though it’s a difficult treatment, we have many resources to help. Because, ultimately, we want to get rid of your cancer.

With head and neck cancer, it’s more common for patients to be diagnosed with stage 4 cancer, which means that it has spread into the lymph nodes.

Discuss your specific treatment with your care team. We’re here to find an approach that most effectively targets your cancer. We’re also available if you already have a cancer diagnosis and would like a second opinion.

Many patients feel anxious and wonder if they can get through treatment. Know that we’ve helped so many others get through treatment for head and neck cancer. We have all the resources you need to succeed, and you don’t have to go through it alone.

Rely on your oncology nurse navigator as a point of contact. Call them. Text them. Meet with them. Ask them to repeat anything as many times as you need.

Supportive services can be a big help. We offer everything from smoking cessation classes to patient partnerships, where you can talk with other patients who have gone through this, too. Your comfort is our priority.

Radiation can be a helpful part of your cancer treatment plan. We can deliver radiation from outside the body or inside the body:

  • External radiation doesn’t make you radioactive once the session is complete.
  • Some types of internal radiation leave a radioactive substance inside your body and may make you radioactive for a period.

Your radiation oncologist will explain your specific treatment and any associated risks and provide post-treatment instructions for you and your loved ones.

The doctor or specialist you interact with most depends on your specific diagnosis and treatment plan.

You’ll likely see your medical oncologist, radiation oncologist and surgical oncologist the most, along with your support team.

Your support team may include your oncology nurse navigator, dietitian and speech pathologist.

A dental oncologist helps keep your teeth healthy before and after cancer treatment, specifically radiation therapies. With head and neck cancer, radiation typically targets the teeth and jaw region. It can lead to a more brittle jawbone and reduced salivary glands, resulting in dryness and a higher risk of cavities.

If you need dental work – for example, teeth removal or a root canal – it’s helpful for the dental oncologist to provide specialty dental care before your cancer treatment. After radiation, dental work could fracture the jawbone.

Dietitians are a big part of head and neck cancer treatment. Often, treatments make the throat sore and painful when you swallow. In addition, certain cancer treatments can make you lose your appetite and even damage taste buds.

Nutrition is vital to wellness and recovery, so dietitians work with speech pathologists to help you swallow again. If necessary, they also advise you and your loved ones on how to use a feeding tube and the best feeding formulas until you can take solid foods.

An oncology nurse navigator is a nurse or registered clinician who personally guides you from diagnosis through survivorship. They are your advocate, here to provide support and reassurance tailored to your needs – whether that's occasional conversations or daily check-ins.

Your navigator can coordinate your appointments, speak directly with your primary care physician, provide support to lower your stress, talk to your loved ones and help you access all the resources that you need.

Not necessarily. Palliative care isn’t just hospice care. Palliative care offers additional support alongside your treatment, and it can start as soon as you’re diagnosed. It helps you define treatment goals, manage symptoms and improve your overall quality of life.

With palliative care, you get support managing pain, symptoms and side effects from your cancer treatment. Your palliative care team also helps you deal with physical and emotional stress, spiritual needs and more.

You have the option to incorporate palliative care into your treatment plan right from the start, which can help keep you comfortable and receive the extra support that you need.