On the day of nasopharyngeal cancer surgery

If you have any questions about your operation, the nurses can arrange for a surgical team member to come and talk to you. You sign a consent form for the operation if you didn't do it at the pre assessment clinic.

Before your operation

Your nurse will go through a series of questions on a checklist to make sure you are ready for surgery. They ask you to:

  • tell them when you last had something to eat and drink 
  • change into a hospital gown
  • put on a pair of surgical stockings
  • take off any jewellery (except for a wedding ring)
  • take off any make up, including nail varnish
  • remove contact lenses if you have them
  • put on 2 hospital identification bands, usually one on each wrist

If you have false teeth you can usually keep them in until you get to the anaesthetic room.

Preparing the operation area

For some types of surgery, you might need to remove some of your hair on your face or neck around the operation area. Your nurse or doctor will tell you if you need to do this. Or your nurse might do this for you when you’re under anaesthetic in the operating room.

Medicine to relax

Your nurse might give you a tablet or an injection to help you relax. This will be an hour or so before you go to the operating theatre. This makes your mouth feel dry. But you can rinse your mouth with water to keep it moist. 

Your nurse and a porter take you to theatre on a trolley if you’ve had this medicine. You can walk down to the theatre if you haven't had any.

Having an anaesthetic

You have an anaesthetic so that you can’t feel anything during the operation. You have this in the anaesthetic room, next to the operating theatre.

All the doctors and nurses wear theatre gowns, hats and masks. This reduces your chance of getting an infection.

The anaesthetist puts a small tube (cannula) into a vein in your arm. You have any fluids and medicines you need through the cannula including the general anaesthetic. This sends you into a deep sleep. When you wake up, the operation will be over.

Your anaesthetist or nurse will tell you more about the anaesthetic and how you have it.

Waking up after surgery

After the operation, you usually wake up in the recovery room, before moving back to your ward.

Time in hospital

The length of your stay depends on the type of operation you have and your recovery. To remove lymph nodes Open a glossary item in your neck (a neck dissection), you may stay in hospital for up to a week.

  • The Royal Marsden Manual of Clinical and Cancer Nursing Procedures (10th edition, online)
    S Lister, J Hofland and H Grafton 
    Wiley Blackwell, 2020

  • Improving outcomes in head and neck cancers

    National Institute for Health and Care Excellence, November 2004 (updated June 2015)

  • Follow-up after treatment for head and neck cancer: United Kingdom National Multidisciplinary Guidelines

    R Simo and others

    The Journal of Laryngology & Otology 2016. Volume 130, Supplement 2, Pages S208–S211.

  • Nasopharyngeal carcinoma: ESMO-EURACAN Clinical Practice Guidelines for Diagnosis, treatment and follow-up

    P. Bossi and others

    Annals of Oncology, 2021. Volume 32, Issue 4

Last reviewed: 
02 Apr 2024
Next review due: 
02 Apr 2027

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