Would you electively cover the neck for intermediate grade mucoepidermoid carcinoma of the salivary gland?

I cover the level II and upper level III nodes in these cases. These are essentially already covered in the field when treating the parotid bed and surgical scar in most cases. It does not increase the volume by a lot when including these elective nodal regions.

I agree with @Dr. First Last. Recent NCDB analysis demonstrated a 5% and 15% risk of nodal disease for intermediate and high grade disease respectively (Ellis et al., PMID 28797455). I intentionally cover II upper III for high grade and include adjacent level two for intermediate grade.