For head and neck cancer, they usually like to keep the "total treatment package" less than 100 days for better tumor control, survival. After the neck dissection, radiation is usually done within 4-6 weeks, depending on healing. Sounds like brachytherapy, which is an option for radiation or permament seeds, which I'm not as familiar with. There is low dose rate, LDR, and Hgh Dose Rate, HDR, Brachytherapy can be given solely or as a boost to EBRT, Extetnal Beam Radiation also, within 1-2 weeks. I had a newer form of Brachtherapy called High Dose Rate Intraoperative Radiation Therapy, HD-IORT, during resection of tumor, followed by IMRT after healing, and a 2nd one this year with Proton Therapy.

Good luck.


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