2016_Head & Neck COURSE BOOK

Summary RT key points  – 

• Postoperative radiotherapy is indicated in  – high risk patients, after incomplete surgery, T2‐T4, pN+ or  perineural extension (ACC) • Doses of 60–70 Gy should be applied to the CTV, preferably  with IMRT or particle beam, in order to reduce mean and max  d t OAR i ifi tl ose o  s s gn can y.  • Carbon ion protocols are ongoing (skull base chordoma /chondrosarcomas) • Elective nodal irradiation is indicated in N+ patients, or in case  of involvement of pharynx oral cavity or skin ,  ,   • Induction and concomitant chemotherapy should be  considered in clinical trials, or in selected cases, e.g. sinonasal undifferentiated carcinoma (SNUC)