HI there... I know you have been through this before and it does SUCK! I am so sorry. My opinion... It's on the other side right? they can do rads again. Even if they did it on that side the first time (I think this is highly unlikely they usually don't do it without reason) I personally was into my second day of rads when they had a very small node highlight on the opposite side. They rewrote my plan to include that side. Normally they don't include the other side, as I said, without reason, so you should be okay. Same with the tongue they don't normally radiate the whole tongue. As for the flap. I have one. It's okay I can speak well about 98% of my original ability. People who didn't know me before don't notice and those who did say it is almost imperceptible (I have a small lisp when I am tired). The trache shouldn't be permanent. I had one put in during surgery because my dr. insisted - related to swelling and such. Ask them under what circumstance it would become permanent? because that doesn't make much sense based on the surgery they likely have planned. And as for the nodes... I hope they are taking a bunch since one or two may be involved - even if they aren't it's a stop gap since there may be microscopic cancer in the nodes. So glad everything else is clear. Scary... but hopefully they will get it all - and let me say make - sure the plastic surgeon is a good one. ;o) push to get them to move quickly.
hugs