I didn't see any indication of whether chemo and rads was ruled out other than there is nothing more they can do. Personally I would get to a big cancer hospital if you can, and get another opinion from a good dr well versed in head and neck cancer. My suggestion would be possibly hit it with a combination of chemos in hopes of shrinking it to an operational size, or rads and chemo if possible. She is very young - god bless and let us know what happens.