What is your approach to adjuvant radiotherapy of laryngeal cancer after laryngectomy and flap reconstruction?

Do you limit the delineation to the initial tumor bed, or do you delineate the whole body of the flap (eventually sparing the pedicle of the flap)?

Any other tips?

Answer from: Radiation Oncologist at Academic Institution

Same as without a flap. Try to start within 6 weeks of surgery.