PubMed · 14076421
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J J FOMON. 1963. INDICATIONS FOR NECK DISSECTION.. https://pubmed.ncbi.nlm.nih.gov/14076421/
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Intensity-modulated radiation therapy (IMRT) involves the delivery of optimized nonuniform beam intensities to the patient. In the head and neck region, there are many critical structures in close proximity to the target, with little influence from internal organ motion. Because IMRT produces tightly conformal doses and steep-dose gradients next to normal tissues, it provides the potential for organ sparing and improved tumor control. The dosimetric superiority of head and neck IMRT over conventional techniques has been demonstrated. The initial results of clinical IMRT studies showed reduction in xerostomia with no compromise in locoregional control if caution and appropriate knowledge are exercised in target determination and delineation.
Reconstructive surgical techniques have greatly changed the treatment approach for patients with cancer of the head and neck. These techniques provide head and neck surgeons the flexibility of performing tumor resection without concerns about the repair of the final defect and significantly increase the quality of life in patients who have undergone ablative surgery by providing better cosmetic and functional outcome after cancer resection. Reconstruction of the defects after ablative surgery for head and neck cancer includes various options, and each option has its own advantages and disadvantages. Techniques for head and neck reconstruction are summarized in this article along with recent advances in their application.