Frequency of Follow-up of Oral Cavity and Oropharynx Patients and Appropriate Use of Imaging and Other Surveillance Methodology

Abstract

The treatment paradigm for oral cavity and oropharyngeal cancer is shifting. As our treatment strategies change, it calls into question whether surveillance strategies warrant change as well. Therefore, the goal of this paper is to critically review the literature with respect to the current pattern and timing of surveillance and the use of post-treatment imaging in patients with oral cavity and oropharyngeal carcinoma. Recent studies suggest that routine surveillance does not improve overall survival, but it does improve locoregional control. Imaging does play an important role in post-operative surveillance. Survival following treatment for head and neck cancer is improving. While routine surveillance may not improve overall survival, it still has benefit for patients, particularly in detecting and managing anxiety and post-operative complications.