Abstract

AbstractComplications attendant on the use of irradiation in the head and neck occurred in 72 of 128 patients at the M. D. Anderson Hospital. The author outlines a rational approach to the patient with head and neck cancer that can help in preventing undesirable sequelae. Dental status, tumor location, and patient compliance are major factors that bear on incidence of major complications of radiation. Recent advances in reconstructive surgery now permit safe transfer of tissue with its intrinsic blood supply‐not dependent, as in the past, on the local radiated area for its vascularity. When complications of radiation therapy occur, they are usually late and in some instances no treatment is indicated or desired. Clinical examples are used to identify specific areas of concern.

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