Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 74

 Surgical salvage of oropharyngeal cancers in patients who have already received radiation therapy increases the risk of significant problems with swallowing and secretion management. Patients may end up being tracheostomy tube or gastrostomy tube dependent according to the exact location of the cancer and the nature of the prior treatment.

 In the setting of operating on irradiated tissue in the pharynx, vascularized tissue in the form of a pedicled or free flap provides healthy tissue for closure.

 Reirradiation of oropharyngeal cancer can predispose to soft tissue necrosis of the pharynx, carotid rupture and/or injury to the spinal cord. The additional benefit of improving the chance for cure through reirradiation must be balanced against the significant morbidity of another full course of radiation.