Second, the radiotherapy will result in soft tissue changes that will make the surgery more difficult. In particular, the radiation affects the rate and speed of healing, so that convalescence may be prolonged. In addition, more frequent complications, some of them serious or life-threatening, may be expected. However, provided these complication rates are low, this approach to primary treatment may still be suitable.
Many health care workers are essential to success. In addition to the head and neck (or ear, nose and throat) surgeon, the treatment team may include the primary physician, radiation and medical oncologists, dentists, rehabilitation specialists, plastic surgeons, dietitians, pathologists, radiologists, oncology nurses and social workers. The patient and his or her family, friends and employer are all involved in the recovery process.
