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Sino nasal radiotherapy

IMRT (or ions) !!!

60 Gy (R0)

66 G (R1 R2)

 y 

66‐70 Gy (primary RT)

Individualized margins, 0‐1 

cm, respect bone and other

anatomical borders

Follow route of spread, e.g. 

nerve (ACC, ONB)

Involve surgeon when

contouring