Cervical nodal level V can safely be omitted in the treatment of locally advanced oropharyngeal squamous cell carcinoma with definitive IMRT

Intensity modulated radiotherapy (IMRT) has emerged as the favored radiation modality for the definitive and post operative treatment of locally advanced head and neck squamous cell carcinoma (HNSCC) [1,2]. Numerous prospective studies have demonstrated comparable tumor control rates with lower incidence of acute and late toxicities when comparing IMRT to conventional radiotherapeutic techniques [3–5]. Despite these advances, treatment related morbidity remains significant and strategies to mitigate the late effects of radiotherapy are still needed.

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