I've read various abstracts suggesting treatment and management guidelines, if you call it that, but like cancer treatment, there are many different opinions, studies, results, as are the doctors knowledge and training, and some things are just not known, and involve many factors. Their not even sure about the benefit of HBOT, and some are questioning the use of it. Even pre-treatment extractions close to treatment causes just as many ORN cases as post therapy, one said, and time seems to factor in with ORN, radiation above 40Gy, one said 60Gy, but most of us had 70Gy, chemoradiation, bisphophinates, dentures, surgery, trauma, injury, and others

I wish us all good luck. I see my Oral Surgeon on Monday, Pain Mangement and Palliative Care on Tuesday.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs