Thank you all for your info and good wishes. I attended a H&N Survivor Group meeting at UCLA the 1st Tuesday of the month. I met several (7-8) people who have had reoccurences, tonsilcular, mouth and tongue cancers. All gave good advice about the PEG, TRAC, feeding, etc. I'm going to get the radial forearm free flap as I want to look and sound as normal possible. I have also done considerable research on the internet reading abstract after abstract worldwide on the merits/ problems with this approach (talking quality, qol, eating). All in all, it seems the best surgery to do. In fact I'm looking past this surgery to what is necessary if I need rad or chemo after surgery or down the road.
Best to All,
Howard