How do you minimize skin toxicity when targeting neck nodes in a patient with HNSCC and skin folds in the neck?

A few technical things in general to avoid grade 3 dermatitis:

Mask Fit and Immobilisation

• Ensure optimal thermoplastic mask fitting in the lower neck and SCF region at the time of CT simulation.

• Minimise air gaps between mask and skin; air gaps impair accurate surface-dose calculation and cause...