CPB Ljubljana 2018 course book

2009

• Oral cavity and oropharynx are essential in coordinating the functions of deglutition, phonation, and airway protection. • Despite reconstruction, resections may leave considerable functional deficits. • Postoperative irradiation increases late morbidity. • High tumor dose is required to achieve local control, even with IMRT, it is difficult to spare adjacent normal tissues • BT delivers a high dose exclusively to the primary tumor volume limiting the risks of severe xerostomia or trismus. • Most results are with LDR, it is too early for precise recommendations for 3-D imaging and optimization with HDR/PDR