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Elective neck irradiation
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The risk of initial subclinical spread to neck nodes is
relatively low
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Elective neck radiotherapy is recommended for
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patients with initial N‐positive disease
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if primary tumor invades oral cavity, pharynx or skin
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+? (emerging evidence..)
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If elective RT is indicated:
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include levels Ib, II, and III (+facial nodes).
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If the nasopharynx is involved, levels I–V should be included
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Unilateral neck irradiation can be used for maxillary
tumors not involving the midline