When do you consider boosting the the tracheostomy site in post operative head and neck cancer patients?  

I was taught that the stoma was included and treated to a subclinical dose (50 gy at 2 gy) in essentially all cases when post laryngectomy radiation was performed.  The classic indications were detailed in the Fletcher texts, and a relatively old paper from MDA by Yuen et al.  These includ...