I mean it depends on the dose those structures got, just like wirh photons
Only difference with protons is the uncertainty of RBE, so if you have proton paths ending in those structures, concern for increased dose is there, but questionable and unclear
As asked, no, absolutely not. Larynx and trachea dosing would be neglible with treatment of the orbit (regardless of with protons or photons). Would look into other causes. Is patient on immunotherapy?
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