Among patients with oropharyngeal squamous cell #carcinoma, proton therapy for head and neck cancer was associated with a higher 3-year incidence of osteoradionecrosis compared with intensity-modulated radiation therapy.
Severe osteoradionecrosis rates were low and did not differ by modality.
This cohort study characterizes the incidence, severity, and predictors of osteoradionecrosis in patients with oropharyngeal squamous cell carcinoma treated with curative-intent radiotherapy and compares outcomes between those receiving proton therapy vs intensity-modulated radiation therapy.









