A critical reflection of radiotherapy on osseous free flaps in mandibular segmental resection and immediate reconstruction in locally advanced oral squamous cell carcinoma: A cohort study

PORT is associated with higher flap complications and need for secondary surgeries in advanced stage OSCC. Given a recurrence rate of zero inside the flap without PORT and the improbability of recurrence within healthy transplanted tissue, the usefulness of applying high radiation doses to this vulnerable tissue is questioned. Further refinements of RT planning should be evaluated and tested in a RCT trial.

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Publication Details

Journal
Radiotherapy and Oncology
Published
2024-11-24
DOI
https://doi.org/10.1016/j.radonc.2024.110652
Citations
10
Primary Topic
Head and Neck Cancer Studies
Type
article
Field-Weighted Citation Impact
5.80
Controls
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article

A critical reflection of radiotherapy on osseous free flaps in mandibular segmental resection and immediate reconstruction in locally advanced oral squamous cell carcinoma: A cohort study

Claudius Steffen, Christian Doll, Friedrich Mrosk, Marcus Beck et al.
10 citations
Radiotherapy and Oncology
Head and Neck Cancer Studies
5.80
article

A critical reflection of radiotherapy on osseous free flaps in mandibular segmental resection and immediate reconstruction in locally advanced oral squamous cell carcinoma: A cohort study

Claudius Steffen, Christian Doll, Friedrich Mrosk, Marcus Beck, Carsten Rendenbach, Kilian Kreutzer, Steffen Koerdt, Max Heiland, Philipp Lampert, Jakob Fenske, Eirini Nikolaidou
article en
10 citations

Abstract

PORT is associated with higher flap complications and need for secondary surgeries in advanced stage OSCC. Given a recurrence rate of zero inside the flap without PORT and the improbability of recurrence within healthy transplanted tissue, the usefulness of applying high radiation doses to this vulnerable tissue is questioned. Further refinements of RT planning should be evaluated and tested in a RCT trial.

Radiotherapy and OncologyVol. 202
Humboldt-Universität zu Berlin (DE)
Zero hunger
Openalex Percentile: Top 3%
Head and Neck Cancer Studies
5.80
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