Adjunctive chemotherapy is really not new, and there have been studies with it, as attached dated abstract shows, and an increase in diseasr free survival. I recently seen a few bloggers elsewhere, having adjuntive chemotherapy, so this form of treatment may have renewed interest, and maybe new treatment trend for advanced cancer in H&N to get any microscopic cancer? I had Induction Chemo, neoadjunct chemo therapy in 2009, but did not find many having it after in 2010, 2011, but resurfaced again, and now see quite a few now having it, and now is on the NCCN guidlines, while a few years ago, it was not, and was contoversial, probably still is.

http://www.ncbi.nlm.nih.gov/pubmed/10388043