An ENT is not trained in the same manner as an oncologist. An ENT is trained primarily in surgery, which clearly is what your doctor did. Thjat he did not send you immediately thereafter for a foloow up consultation with a realo oncologist and specifically a radiation oncologist for an opinnion the first go around if there should be additional treatments leaves me feeling he did a disservice to you. Only in the earliest cancers, such as carcinomas in situ would most consider surgical only solutions. I suggest that you get a consultation with someone affiiliated with a cancer center, that has both a radiation and chemo oncologist on staff and has a history of treating head and neck cancers. The top 50 centers in the US can be found on our resources page under the link titled "best hospitals." Those that have the lowest chances of recurrence are those that are found at early stages (you don't say what stage you were, or if your doctor even staged you, which is one of the primary determiners of what treatments are appropriate), and those that hit it with the biggest hammer the first time around...ie. surgery and radiation. In more advanced cases - some two's, all three's and fours, concurrent chemo with the radiation, yeild the best results and would conform to the NCCN guidelines. These guidelines can also be found on our site in detail if you are interested.