ENT's do have set follow-up exams based on NCCN guidelines, and thier Otololaryncology organization, but scanning is less specific, and in certain H&N cancers, like oropharyngeal, and it's for T3,T4 disease only, as per the NCCN guidelines, minus any suspicion.

Follow-up exam

1st year once every 1-3 months
2nd year once every 2-6 months
3-5 years once every 4-8 months
5 years or more once every 12 months


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs