Abstract

Implantation of small carcinomas confined to the anterior floor of mouth using rigid interstitial needles remains an excellent treatment with a high rate of local control. However, the needles must be inserted through the non-involved tongue which acts to stabilize needle position. Even the most experienced operator has difficulty performing an implant which maintains proper spacing, and inhomogeneity is an accepted fact of life. Bone complications are frequently experienced even with early lesions, and the anterior one-third of the tongue is needlessly irradiated.

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