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ARNOLD KOMISAR, MD, DDS; STEVEN WARMAN, MD; ELIOT DANZIGER, MD
Bronx, NY

Arch Otolaryngol Head Neck Surg. 1991;117(4):450.

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

In Reply.—An analysis of overall cancer therapy of the tongue and the floor of the mouth was not the subject of our article. Our article presented a critical evaluation of our results using a technique of mandibular reconstruction.

Dr Baldwin's letter aptly shows the flaws in the current staging system, and the dangers of comparing results with limited data available. Factors not considered in his comparison, but of equal importance in making a meaningful comparison of treatment outcomes would include the following: status of the neck, clinical vs pathologic staging, mandibular invasion, age, tumor-matched patients, compliance with treatment regimens, follow-up care, socioeconomic status, and intercurrent disease. These factors were not addressed in our article. To criticize our treatment result from incomplete data is presumptuous.

Dr Baldwin and his group are to be commended on their excellent results in treating cancer of the tongue and the floor of the mouth. . . . [Full Text PDF of this Article]

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