Table II.

Treatment recommendations

Stage	Surgery	Radiotherapy	Chemotherapy
T0N1 (no ECS)	SND or MRND	No unless for mucosal sites	No
T0N1 (ECS)	SND or MRND	Yes – either involved lymph nodes or ipsilateral neck and boost to involved lymph nodes	Should be considered
T0N2a, N2b, N2c	SND or MRND±contralateral SND or MRND	Yes – ipsilateral but bilateral should be considered	Should be considered
T0N3	Radical or type I MRND	Yes – ipsilateral but bilateral should be considered	Should be considered

SND = selective neck dissection; MRND = modified radical neck dissection