We had a meeting with the consultant yesterday who has made it clear now that there is no decision to make with regards to a free flap versus obturator. The histology results show that the cancer is particularly aggressive and therefore they are going to press ahead with radio therapy as soon as possible and this is the priority. As an aside it sounds like the system in the states for the making of obturators is very different to the uk. I met the person who is going to be doing this and he is a technician who makes many different types of protheses for the maxio-facial unit.
I think this ends this thread but I am so grateful for the input and support from members, I am sure I will be asking further questions.