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6.4.7: 7. Surgical Considerations in Under-Resourced Settings

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  • Unreliable follow-up: With patients with malignant tumours and unlikely to attend regular follow-up to detect early recurrence or metastases, electively treat Levels Ia,b, IIa and III  of the neck by surgery (preferably) or radiation therapy

    Unavailability of postoperative radiation therapy (PORT)

    • Most patients with salivary malignancy receive PORT (Indications for PORT)
    • Not having PORT to treat residual microscopic cancer or nodal metastases has the following surgical implications:

    Palliative surgery

    Hence “palliative surgery” can be recommended for selected patients