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Clinical Challenges
August 2003

Time-Proven Efficacy of Microsurgery

Arch Otolaryngol Head Neck Surg. 2003;129(8):907. doi:10.1001/archotol.129.8.907

As otolaryngologists, we have a unique and long-term perspective on the treatment of benign lesions with radiation therapy. In the first half of the last century, radiation was advocated as a safe and effective treatment for adenotonsillar hyperplasia. Experience has proven that radiation therapy for this indication is medically unwise because it is associated with a significant incidence of radiation-induced head and neck tumors, many of them malignant. The recent resurgence of interest on irradiating benign lesions, this time acoustic tumors, has led to skepticism among many otolaryngologists who remember this history.