Hi, Peace: Please go to UVA for an opinion. Having a good ENT is not enough[in our experience]. While he may be very good at what he does, you will need a whole team of experts watching over you during your tx. and recovery. If Roanoke can't provide them, then go to UVA. 2 hours travel time is nothing compared to the support you can get from a Head and Neck cancer program. Keep us informed on what is happening with you. Amy