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Recurrences : the strategy

SALVAGE

SURGERY

Reference treatment

In < 25% recurrences

Local control : 30-50%

BRACHYTHERAPY

Alternative to surgery

< 10 %

Local control : 40-60%

OS at 5years : 15-30%

Temam et al. Head&Neck 2005

Peiffert et al. IJROBP 1994