How do you decide when to electively cover ipsilateral level IB or V in a node positive neck?

Do you always cover these areas of ipsilateral neck is positive? Does it depend on nodal level involved, primary site (oropharynx vs. larynx/hypopharynx), or other factors?

Answer from: Radiation Oncologist at Community Practice

The primary site of most concern would be the oropharynx and what to do with level IB if the patient is cN+ and the reason is that sparing the submandibular region may lead to decreased toxicity, as it's function provides baseline moisture in the oral cavity (as opposed to the parotid gland, which i...

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Radiation Oncologist at University of Michigan
Agree with Dr. @Simul Parikh. Laryngeal/hypopharyn...

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How do you decide when to electively cover ipsilateral level IB or V in a node positive neck?

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