How do you approach treatment volumes and dosing around post-operative neck dissection scars in patients with head and neck SCCs?

The traditionally accepted target volume for post op RT is the "surgical bed" - meaning all the areas where the knife has been! This volume is generally treated to 60 Gy in 30 fx for SCC + additional boost for close/positive margins and/or ECE. One could consider lowering the dose to 56-57 Gy for a ...