Hi Aseem,

I refer you to this article: Oropharyngeal cancer: United Kingdom National Multidisciplinary Guidelines. Mehanna H, et al. J Laryngol Otol. 2016 May;130(S2):S90-S96.

This is from 2016, and is endorsed by UK societies for head-and-neck cancers. Dissection of Level 1b is on a case-to-case basis, as is the case for radiotherapy.

This is the most current that I have found.

Regards,

Warren

Thank you Warren!!

Few articles available on this topic.

Mostly depends on stage .

Here are few article about it DOI:10.1016/j.jcms.2014.06.023

DOI: 10.1007/s00405-013-2545-6

Thanks..

The best evidence for nexk management is a minimum of level II to IV neck dissection.

If nose positive neck and/Or oropharyngeal disease extending anteriorly to oral cavity then neck dissection (I to V).

Hạch cổ cần được nạo vét cẩn thận, đặc biệt level I, cả Ia và Ib. Nhóm V không thể loại ra. Nạo vét bên đối diện là cần thiết. Ít nhất I, II bao gòm Ia, Ib, IIa, IIb.