I will soon be facing the same decision. My inclination is to go the route the ENT is advocating. Have the partial dissection and hopefully obtain a bit of peace of mind knowing that one potential avenue of recurrence has been removed.

While I write that I had 1 node hot, no one really knows that. The radiologist said no, but every one concurred that it was best to treat it as though the cancer had reached a node. Moreover, during treatment it apparently did not "behave" in a manner that my rad onc. found consistent with a cancerous node.

It is a tough decision, but I would be inclined to have it even without a hot node.