What dose-fractionation would you use for a recurrent basal cell carcinoma of the right ear concha close to the tympanic membrane status-post multiple Mohs surgeries with close/positive margins?  

I would get a second surgical opinion. Any dose/fractionation scheme given with curative intent will cause terrible wet desquamation and likely complete hearing loss. This patient needs a curative-intent surgery by a base of skull surgeon who will get adequate margins around this and the patient wil...

I agree with Dr. Anderson in this regard, and consider other variables before I would consider radiotherapy's role here.Too start with as Dr. Anderson pointed out the patient will probably lose hearing on the ipsi-lateral side and this, too, will require correction later, just as more surgical inter...