Do you leave the tracheostomy tube in place or take it out during each head and neck cancer radiation treatment?

I leave it in and don't bolus. I take it that we are referring to post total laryngectomy. If not, the patient should have had one. If so, bolus is likely unnecessary because the mechanism of a stomal recurrence is likely a level 6 node. Cheers!

I agree with @Dr. First Last. If a pt needs a trach tube, I usually leave that in during sim and treatment, and do not use bolus.