Hi, I'm a 65 year old male. I was diagnosed with tonsil cancer in September 2012. Following tonsilectomy, XRT commenced on 27 Dec 2012 (30 fractions IMRT). After completion of treatment a lymph node met wa picked up on the otherside of my neck. I had a selective lymph node resection and 30 more fractions of XRT.Then a large area of necrotic tissue was noticed, leading out of my tonsil bed. Both oral & IV antibiotics failed to shift it.We are now into December 2013. I was then given a 30 dive course of HBO, during which period the necrotic tissue started to break away and by the end of the course, it had all gone.2014 has been pretty good apart form the development of a small discharging lesion under my chin, which did not respond to antibiotics. About 3 weeks ago, the lesion broke down, exposing the tail end of a fistula & fractued mandible(stage 3 ORN). I have seen 2 surgeons from the same team, one appears to be recommending conservative treatment and the other, surgery. From what I have read, chances of successful surgical outcome are improved, if surgery is started early. Now to the point of my post: I have been trying to find data on the surgery involved and the outcomes of the various procedures. I would be grateful if anybody out there has undergone such surgery, could you let me know what it's all about & how you got on.
Kind regards
Big Al

9/12 diagnosed rt tonsil
10/12 tonsillectomy.
12/12 radiotherapy.
Trismus
Necrosis in rt tonsil bed.
Antibiotics given without success.
3/13 infection rt jaw.
7/13 contralateral lymph node diagnosed.
8/13 selective lymph node resection.
Small dry swelling appeared inside rt jaw line.
12/13 HBO for necrotic tissue problem. Within 6 weeks all necrosis gone.
3/14 swelling began to discharge.
6/14 steroid given.
After 2 weeks, lesion worse, fistula visible, Jaw bone and fracture visible.