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13. Indications for Postoperative (Chemo)Radiation Therapy

  • Page ID
    18399
  • Commenced within 6 weeks of surgery

    NotePostoperative radiation therapy may impair swallowing and increase aspiration following hypopharyngeal resection or supracricoid laryngectomy

    Postoperative Radiotherapy

    • Primary tumour bed
      • Through thyroid cartilage or into extralaryngeal soft tissues
      • Positive margin / close margins
      • Intraoperative tumour spillage
      • Preoperative tracheostomy through tumour
    • Neck
      • >1 metastases
      • Extracapsular spread (ECS)
    • Postoperative chemoradiation
      • Positive margins
      • ECS