The Amelo Warrior Fund
Raising vital funds for life saving research.
Darren's Story
After his first visit to the dentist in over 27 years, Darren was diagnosed with an ameloblastoma in his lower jaw in January 2020. Below he tells of his multiple surgeries and how his fighting spirit has helped with his recovery.
In August 2019 I began to suffer with severe toothache, which became so bad I eventually went to the dentist. I hate going to the dentist and had not been for over 27 years.
As I was being examined the dentist noticed a dark mass as she removed a wobbly tooth. She said she hadn’t seen anything like it before and wanted to take an X-ray for a closer look. She also referred me to a specialist.
I waited 5 months before I received an appointment with the specialist. During this time, I became extremely anxious, but I tried to convince myself that “no news is good news”.
Finally on the 19th of December 2019 I was referred to Charles Clifford Dental Hospital, Sheffield for a biopsy and had two teeth extracted at the same time. Unfortunately, there was not enough tissue taken for the biopsy.
I had a second emergency biopsy under anaesthetic on the 17th of January 2020, when had two more teeth extracted and my jawbone scraped.
After waiting for two weeks, I received a call from the hospital saying I needed to come for a consultation regarding the results of the biopsy. I knew it wasn’t good and started to fear the worst.
On the 30th of Jan 2020 I met with a surgeon and my fears were realised. I was told that I had a large bone tumour called ameloblastoma, a very rare, slow growing, non-cancerous (benign) tumour that can occasionally become aggressive and affect tissues surrounding the jaw area. That's why early diagnosis is so important.
The surgeon said there was a good chance of removing all the tumour in one go, but that the surgery would be aggressive, and I could lose full or part sensation in my chin as the tumour had grown through the nerves and possibly wouldn’t return.
My surgeon thought the tumour had been growing for over 15 years undetected and was amazed that I hadn’t felt it or had any problems before now. Two surgical options were given to me: distraction osteogenesis or fibula free flap reconstruction surgery. After discussing the pros and cons of both surgeries with my surgeon I decided on the osteogenesis distraction as I felt this was the best option for removing all the tumour and with a shorter recovery time.
I knew I had to do something to help me cope and understand what was going to happen to me. I found Bone Cancer Research Trust (BCRT) who said they would support me through my diagnosis and surgery and suggested I joined the BCRT ameloblastoma Facebook group. Knowing there are organisations like Bone Cancer Research Trust and other ameloblastoma groups to confide in and share knowledge of this condition really takes the weight off your shoulders. I spent days contacting people who have experienced what I was going through, and their advice was priceless.
I had my first surgery on the 30th of April 2020. The procedure involved fitting a distractor to pull two pieces of bone apart. Over the next few months new bone grows to fill the gap. I was left with two screws out of the back of my neck which were turned each day with a small screwdriver, enabling the new bone to grow. I was in surgery for over 8 hours, and the tumour was completely removed along with 90% of my jaw and all the teeth on my lower jaw, bar one.
Unfortunately, although the tumour was successfully removed, there were complications and the distraction osteogenesis failed. I spent 115 days in hospital throughout the first COVID -19 lockdown, was unable to eat or drink, or see any family or friends. I developed sepsis which nearly killed me and had 12 surgeries in total.
On the 1st of July 2020 I made the decision to change my surgeon as I was frustrated with my recovery and the advice being given to me was not reassuring enough to keep me positive.
As the first procedure had failed, I was offered the fibula free flap surgery, where part of the bone in my lower leg (fibula) is removed and used to reconstruct my jaw. On the 5th of August 2020, I went back into surgery under the watchful eye of my new surgeon. Again, there were complications as my body was weak and not strong enough to deal with the things it had endured, but I am pleased to say the surgery was successful and after a few months of PEG feeding (where I was fed through a tube inserted directly into my stomach) I started to feel like my recovery was going in the right direction. With hindsight I’d have no hesitation in choosing the fibula free flap surgery as my 1st choice of surgery. The recovery has been a lot less traumatic, and it turns out that you can manage to walk on two bones instead of three! Who knew?
In August 2022 I had 5 implants inserted and throughout the last 12 months we have realised that one or two of them are not working as they should and this is causing some complications. I feel deep down that the last 12 months haven’t achieved anything,as I can’t eat and drink any better and my face and speech still look and sound the same. So I’ll be going back into surgery to have more fibrous tissue buildup removed and after after having the mouldings for my new teeth done, see what the next steps of my journey are. My dental restoration surgeon and my maxillo-facial surgeon are working close together to bring me the best outcome, but I fear we will still move into my 5th year of treatment since my diagnosis in 2019.
I’m looking forward to seeing what comes next in my future consultations with my medical team, but I know it’s not going to be a quick fix.
Not having teeth has bothered me at times, but when I think how close I was to not being here it’s nothing. My diagnosis and surgeries have changed my life forever but I’m still here and fighting for all I’m worth.
My advice to others would be to talk to people and don’t be scared to ask as many questions as you need to. This is about how you want to deal with it, and not how you think everybody else would.
We are all different and your journey will never be the same as another person’s. It’s personal to you and having a good support network around you is important.
I hope my story inspires people to speak up and go and get themselves checked out at the dentist. It may feel like nothing in your mouth, but don’t take the risk. I had no clue my tumour was growing for over 15 years and now I’m paying the price.
I hope when people read my story, they will realise they’re not alone in dealing with their diagnosis. I'm determined to get out there as soon as I can and show people that we are going to beat this thing together. I'm raising funds for BCRT as a way of saying thank you. I hope my story and fight for survival will help others and raise awareness of this horrific and very rare disease.
Fundraising for the Amelo Warrior Fund
Text BCRT AMELO TO 70800 to give £5
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