Chris Elkington

When you have a shock like that, every day is a good day and my gratitude to the NHS and the team of dentists, doctors, nurses and surgeons cannot be measured.

Chris Elkington Patient Story Photo

Five years ago, in August 2011, I was diagnosed with chondrosarcoma in my lower jaw. I was leading an active life and had a fulfilling job which I enjoyed. At the time I had no idea there was a problem. I had visited my dentist for a routine check-up in March 2011 when he noticed an abnormality on the jaw below my bottom teeth. He decided to refer me to Lincoln County Hospital for the specialists to take a closer look and biopsy. At the time of diagnosis, I didn’t fully understand the impact of the disease.

After a frank discussion with my GP, I eventually recognised the severity of the diagnosis and panic set in. I applied for ill-health retirement from work, which was approved by the occupational health team within a week - this in itself was concerning - and, taking the advice of my GP, I began to put my affairs in order. A month later I was referred to Mr Sat Parmar, Consultant Oral & Maxillofacial Surgeon, at Queen Elizabeth Hospital Birmingham, who offered me the opportunity to undergo a new surgical procedure. He explained there were no guarantees, and if I were to survive the operation there was no certainty that my speech would return and eating may become an issue, as well as a number of other potential side effects. That being said, in my mind it was a no brainer – it was death or take a chance. My GP suggested that I write a blog to help me cope with my situation and I desperately tried to improve my fitness, as I knew I was in for a torrid time.

After a number of trips to Birmingham to ensure I was suitable for the operation, I was finally given the go ahead, and on Sunday, October 16 2011, the operation took place. I walked from the ward to the theatre as I thought this may be the last time I ever walked again. I started the operation but I have no recollection of that day and little of the next day. The operation took around 10 hours. The whole of my lower jaw was removed and was replaced by a section of bone taken from my fibula complete with a vein. This bone was broken into three pieces, fixed to a titanium frame and attached to the remaining sections of my upper jaw to become my new lower jaw. The vein was attached to existing veins to provide a blood flow to my new jaw.

I remained in Hospital for a couple of weeks until such time as Mr Parmar considered that the operation was successful and I could prove that I could walk reasonably, including an ascent of stairs (despite the fact that I live in a bungalow). Thereafter, my wife (who became my driver for many months) and I returned to Birmingham on an almost weekly basis to ensure that the procedure had settled, and the local District Nurses called in daily to re-dress my leg as healing of the wound took several months.

A year after my first operation I went back for my second, and six steel pillars were inserted and fitted into my new jaw. Six months after the last surgery, a surgeon from the Birmingham Dental Hospital built a bridge with a set of teeth to fit onto the pillars. After my surgeries I was determined to get back to my life as much as possible, and gradually, as my wounds healed and my fitness improved, I succeeded. My speech is now almost perfect, I can eat almost anything and my self-confidence has returned. I do not need to work, but I can do whatever I want. I live a very active life including playing golf, watching football, umpiring cricket and skiing (to prove that loss of bone can be overcome), just to name a few, and I also spend as much time as I can with my family. I am the Chairman of my local Parish Council once again and give occasional speeches, and we go on holiday several times a year, so life is good!

When you have a shock like that, every day is a good day and my gratitude to the NHS and the team of dentists, doctors, nurses and surgeons cannot be measured.