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Radiation Therapy for the Head and Neck Patient: Advances, Challenges, and Perspectives
Sagus Sampath1, Nayana Vora2, Zachary Zumsteg3
1Department of Radiation Oncology, City of Hope Medical Center, Duarte, CA, USA. ssampath@coh.org.
Abstract:
Radiation therapy for head and neck malignancies has made remarkable advances in treatment technology, resulting in improved clinical and functional outcomes. It is necessary for the radiation oncologist to have a complex understanding of the patient's tumor and its relationship to the surrounding normal anatomy, in order to safely limit dose to normal tissues. Complications following radiation can be managed with timely intervention, usually on an outpatient basis. This chapter will discuss the technological advances in the field, the impact of human papillomavirus (HPV)-mediated disease on radiation treatment, efforts to limit dose to critical salivary and swallowing structures, and management of certain radiation-related toxicities.
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