Fig. 4

The top panel depicts two patients with type E recurrence in the ipsilateral parotid nodal area following parotid sparing IMRT. Both patients were diagnosed with T2N2b right sided buccal mucosa primaries and subsequently failed at the ipsilateral parotid area outside all target volumes. The lower panel depicts another example of type E failure in a patient diagnosed with T3N2b at the buccal mucosa with post-IMRT ipsilateral perineural spread along the maxillary and mandibular nerves (bottom left, bottom right)