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Larynx/edema gr 2

:

66 pts, videofluoroscopy assessed, fu=17.4m

mean dose or V%> 50 Gy

& neck stage (multivariate -

Sanguineti

et al

, IJROBP 2007)

V50<27%; mean dose < 43.5 Gy (EQD2)

Larynx/vocal disfunction

:

complex physiology

>66 Gy (prescription): decrease in function

but not 3D data (

Dornfeld

et al,

IJROBP 2007)

Risk factors

:

concurrent chemo to high dose RT

>double risk of laryngeal edema and

vocal dysfunction

Rancati

et al

, IJROBP, vol, 76, n3, S64-S69

LARYNX, edema

(2/4)