What is your approach to adjuvant radiotherapy for head and neck cancer after resection and reconstruction with a free tissue (muscle and bone) flap?  

I work closely with our reconstructive surgeons to get their opinion on the health of the flap. In most cases, I am able to start radiation within the recommended 4-6 week window. There may be occasional cases where the flap has not been "taken" or the patient had to go back to the OR for a failed f...

Start postop RT within 6 weeks. Limit dose to 60 Gy/30 fractions if possible.