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Head and Neck Cancers • Radiation Oncology
Do you leave the tracheostomy tube in place or take it out during each head and neck cancer radiation treatment?
If you leave it in, do you still use bolus?
Answer from: Radiation Oncologist at Academic Institution
I leave it in and don't bolus. I take it that we are referring to post total laryngectomy. If not, the patient should have had one. If so, bolus is likely unnecessary because the mechanism of a stomal recurrence is likely a level 6 node. Cheers!
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Answer from: Radiation Oncologist at Academic Institution
I agree with @William M. Mendenhall. If a pt needs a trach tube, I usually leave that in during sim and treatment, and do not use bolus.