Hi Joanne,
Based on my personal experience, I think you should get a second opinion from a major cancer center. They may be able to coordinate treatment at home. My ENT did my first surgery and the pathology showed my margins were clear. I went to MD Anderson and the Doc found more cancer on my tongue and in lymph nodes.
Experience is everything! Also, cancer treatments for head and neck are brutal. You need to look at all options. Just get the opinion so you have no regrets. Cancer is never convenient or cheap.
Good luck!