Functional inoperability of oral and oropharyngeal cancer

In this thesis the current national and international practice and clinical decision-making process about functional inoperability are evaluated. An impression is drawn of which clinicians already apply the concept in practice, and which surgical procedures are being considered as functional inoperable. The decision-making process concerning functional inoperability appears subjective and variable, with evident geographical differences. The first step in objectifying functional inoperability has been taken by development of the cine MRI of swallowing and a dynamic model of the oral cavity and oropharynx.