Clinically/radiologically N+ neck: Modified radical neck dissection (MND) / Radical neck dissection (RND)
Clinically/radiologically N0 neck
- >20% risk of occult nodes
- T1 <4mm depth: Watchful waiting
- T1 >4mm depth, T2-T4: Electively treat neck
- Elective SND Levels I – IV of ipsilateral neck
- Convert to MND if suspicious nodes in neck (+/- frozen section)
- Elective contralateral neck dissection for tumour approaching/crossing midline
Index: Clinical Practice Guidelines for Oral Cancer
Resource Appropriate Oral Cancer Guideline Scenarios