When is the coverage of tracheostomy site required for Head & Neck cancer radiation therapy and to what dose?

I always take the stoma to 54-60 Gy, and boost to 66 Gy in case of any of the following:

• emergent trach placement
• subglottic extension
• anterior soft tissue involvement (i.e., through-and-through thyroid cartilage involvement and/or actual soft tissue involvement anterior to thyroid cartilage)
• conta...

Agree with above indications. I would also add as indications: nodal ECE, close/positive inferior margins after total laryngectomy, and scar across the stomal site. Basically, whenever there is any doubt that tumor is uncontained in the neck (ECE, T4s w cartilage destruction) or close to the stoma a...

I always cover to the skin and to 60-66Gy depending on the situation (contaminated etc.). Like the old stomal boost.

Old textbooks, KKAng's book, Nancy Lee's book cover the uninvolved stoma to 50 Gy, if not involved.

One should look at operative note as now surgical oncologist do excise the site of an emergent tracheostomy at the time of laryngectomy.