2016_Head & Neck COURSE BOOK

5/30/16

• The entire operative bed (identified by inflammation, edema, fibrosis, …) should be included in the CTV • In case of pathological involvement of level II, delineation of the retrostyloid space (level VIIb) • In case of pathological involvement of level IV and/or Vb, delineation of the subclavicular fossae (level IVb and/or Vc) • For pharyngeal primaries with node positive neck, inclusion of the retropharyngeal nodes (level VIIa) • When a pathological node is located at the boundary between two levels (e.g. level Ib and II), delineation of the two levels • When pathological node(s) abut a muscle (e.g. SCM or para- spinal), delineation of the muscle by 10-20 mm in all directions Recommendations for the post-operative neck

EHNS-ESTRO H&N course Florence, June 2016

Grégoire et al., 2006

H&N IMRT practice heterogeneity among Dutch Radiation Oncologists

EHNS-ESTRO H&N course Florence, June 2016

Rasch et al., 2007

22