What are the risks and recovery expectations?

Common acute side effects include oral mucositis (painful mouth sores), xerostomia (dry mouth), dysphagia, fatigue, and cisplatin-related nausea, hearing loss, or kidney impairment. These are managed with supportive care such as pain medication, nutritional support, and hydration. Late effects may include fibrosis, trismus, or hypothyroidism. Recovery typically takes 4–6 weeks after the last radiation fraction, during which mucositis and fatigue gradually improve. Long-term follow-up is essential to monitor for recurrence and late toxicities.