I'm sorry to hear this. One of the things I can think of that may help is Intraoperative Radiation Therapy, IORT, similar to Brachtherapy, which I'm having next month. It's a 4 part process with a resection, radiation during surgery, possibly a flap, and then more Chemoradiation, are some of the ways, and possibly others. They do this even if you had prior radiation. My doctor is in Manhattan, and is one of the best in the country, and so is the Otolaryncolgy Department with patients coming from all over the world to see them. If you want, I can give you the names of the doctors, who are all are from MT. Sinai, MSKCC.