Funny how opinions differ David.having a neck dissection makes perfect sense to me ,but i expect thats because rob had one and so do most patients in the uk.It seems fairly logical that the lymph glands should be thoroughly examined and sent for pathology if the primary is quite advanced,and really the neck dissection was a breeze compared to everything else,three days in hospital and back at work after ten.I do however worry about surgery on irradiated skin the healing process is so much harder with fragile tissue.Still i suppose its horses for courses,and as rob already had a massive secondary in his parotid gland a neck dissection was a no brainer.I wonder perhaps if we all tend to lend our opinion to the treatment we chose,especially if it worked!!

liz