I just saw this link. I had 4 recurrences. Just completed IORT, which was a neck dissection, radiation during surgery, and a pectoral flap. In a few weeks, I will have more radiation, and chemo. Have you looked into laser surgery? Brachytherapy as mentioned or IORT? Also, they are doing more Reirridation than before now, but depends how much the area received, and reason for my flap with new tissue. Good luck.