Laryngo- rhino- otologie
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Laryngo- rhino- otologie · Nov 2011
Review[Treatment related swallowing dysfunction and the potentialities of IMRT].
Altered fractionated radiotherapy and concurrent chemoradiation could improve local control and survival for patients with locally advanced head and neck cancer. However, intensified treatment seems to increase late toxicity. ⋯ Important structures seem to be the pharyngeal constrictors and the supraglottic and glottic larynx. Further prospective clinical validations using standardized diagnostic protocols for dysphagia are necessary to establish dose constraints to anatomical structures involved in swallowing.