For postoperative radiation for oral cavity cancer, should the entire surgical bed including grafts and plates (eg reconstructed mandible) receive the full 60 Gy?

2 Answers

Mednet Member

Radiation Oncology · University of Florida

Yes

Mednet Member

Radiation Oncology · NYC Health + Hospitals

Yes always. There are risks of tumor seeding or contamination during recon, or as a result of altered lymphatic and vascular drainage.