How do you manage early stage tonsil SCC treated by simple tonsillectomy alone?

A simple tonsillectomy is not an oncologically curative surgical procedure. It is analogous to an excision biopsy. Historically, definitive RT was the logical next step for a cN0-1 neck in the setting of an early stage primary & with excellent results (Garden et al from MDACC, & others). A good outc...