After having problems with lower mandible and mitigating that fairly well for now, the next stage has begone….ear canal erosion. I have exposed bone that the ENT attributes to reduced blood flow post radiation. Doing conservative treatment, ie. keeping area dry, antibiotic drops weekly, and watching for now. My ENT was unfamiliar with Pento protocol and would not prescribe so I had Oral Surgeon prescribe it. 4 months in and so far erosion has stayed the same.

Anyone else have ear issues and will take any treatment recommendations…..

Last edited by KevinBach; 11-23-2023 07:58 AM.

Surgery 8/08
Rt tonsil and 1 lymph node
SCC, HPV+, Stage IV
Radical neck dissection
Radiation 35x
PEG installed
10/21 Two teeth extracted, Pento protocol
11/21 Jaw broke. Osteoradionecrosis
1/22: Jaw repair, 3d printed plate and bone graft (full flap recommended and rejected)
08/23: Ear canal erosion, bone exposed. Restarting Pento…