2016_Head & Neck COURSE BOOK

Summary key points  – 

P i di l RT b d i • r mary managemen s surgery; ra ca  can e use n  inoperable cases • Postoperative radiotherapy is recommended in cases of  – incomplete surgery, T3‐T4, pN+, perineural extension, ACC and other  high risk pathologies • Doses of 60–70 Gy should be applied to the CTV • Ipsilateral RT; wedge pair 3DCRT or IMRT • Isolated neck recurrences or distant metastases are rare and  elective nodal irradiation is only indicated in N+ patients  • Protons, carbon ions and systemic therapy are still  experimental t i