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Is IMRT safe ?

21 (16 %) loco-regional recurrence

17 in field, 4 marginal

No recurrences contralateral cranial to the SD

nodes

Three (marginal) Retropharyngeal node

Radiotherapy

recurrences therefore target area extended to

the level of C1 retropharyngeal

82% of cases contralateral dose to the

parotid below 26 Gy

•Eisbruch et al IJROBP 2003