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BHADRASAIN VIKRAM, MD; ELLIOT W. STRONG, MD; JATIN P. SHAH, MD; RONALD H. SPIRO, MD
New York

Arch Otolaryngol. 1985;111(12):827-828.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—DeSanto et al¹ have twice misquoted us. On page 369, they cite one of our articles² as suggesting that "A new and realistic concern is that the effects of radiation on lymphatics may actually facilitate distant metastases and decrease survivorship rather than improve it." In actual fact, rather than raising such concerns, our data are really reassuring in this regard; we found that the overall incidence of distant metastases in patients treated by the combination of surgery and postoperative radiation therapy was remarkably similar to what had been previously observed at our institution in patients treated by surgery alone.³ On page 370, DeSanto et al again cite us, suggesting that "control of the disease (by postoperative radiation therapy) did not lead to increased survivorship." In actual fact, our data do show a rather striking decrease in deaths from head and neck cancer in patients treated by surgery . . . [Full Text PDF of this Article]

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