Indications for Postoperative (Chemo)radiation Therapy with Supraglottic Cancer

Commenced within 6 weeks of surgery

Postoperative Radiotherapy

• Primary tumour bed
  • Through thyroid cartilage or into extralaryngeal soft tissues
  • Positive margin / close margins
  • Intraoperative tumour spillage
  • Preoperative tracheostomy through tumour
  • Subglottic tumour extension

• Neck
  • >1 metastases
  • Extracapsular spread (ECS)

• Postoperative chemoradiation
  • Positive margins
  • ECS

Note: Postoperative radiation therapy may impair swallowing and increase aspiration following supraglottic or supracricoid laryngectomy

Index: Clinical Practice Guidelines for Supraglottic Cancer

Resource Appropriate Supraglottic Cancer Guideline Scenarios