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Scan GuidesRadiotherapy

Radiotherapy scan guide

Head and Neck Cancer Radiotherapy:what to expect

Head and neck cancer radiotherapy treats cancers in areas like the throat, voice box, mouth, nose, or neck nodes. It often needs a custom mask and close support for swallowing, mouth care, and nutrition.

Written by Taiwo Oluwayemisi, B.Sc Radiography
·
Medically reviewed by Olusegun Samuel Faith, M.Sc (Medical Imaging), MPH, PgDip (MRI)· Last reviewed 13 Jul 2026
In this guide6 sections
At a glanceAbout this scanBefore your appointmentSafety and special situationsWhen to seek urgent helpSources and summary
Reading timeAbout 3 minutes
PreparationFollow your centre's instructions
ContrastNot usually required

Your imaging centre will confirm what applies to your appointment.

Education only — not medical advice. For urgent symptoms, see a doctor.

RadFAQS explains radiology terms, scan preparation, and what patients commonly experience. It is not a diagnosis, treatment plan, or replacement for your referring doctor, radiologist, or care team. RadFAQS does not monitor this site for emergencies and cannot respond in real time. If symptoms are severe, worsening, or urgent, do not wait for a reply here — contact a healthcare professional or emergency service immediately.

Head and neck cancer radiotherapy treats cancers around the mouth, throat, voice box, nose, salivary glands, or neck lymph nodes. It may be given alone, after surgery, or with chemotherapy.

This area is sensitive because it affects eating, speaking, saliva, taste, and breathing. Good support during treatment matters.

01 · Understand the examination

About this scan

Common Indications for Head and Neck Cancer Radiotherapy

Your doctor may recommend it for:

  • Throat or tonsil cancer.
  • Voice box cancer.
  • Mouth or tongue cancer.
  • Nasal or sinus cancers.
  • Salivary gland cancers.
  • Cancer in neck lymph nodes.
  • Treatment after surgery.
Do I need to stop taking medication?

Usually no. Keep taking your medicines unless your doctor says otherwise. Tell the team about pain medicines, blood thinners, diabetes medicine, and chemotherapy.

What happens when I arrive?

The radiographers position you in your mask. The mask holds your head and neck still so treatment can be accurate.

Is there any discomfort?

The radiation does not hurt. The mask can feel uncomfortable or claustrophobic, and side effects can make swallowing sore as treatment continues.

Are there risks?

Side effects may include mouth sores, thick saliva, dry mouth, taste changes, skin soreness, tiredness, hoarse voice, swallowing pain, and weight loss. Some effects can last after treatment.

02 · Plan ahead

Before your appointment

What exactly does this treatment target?

It treats the tumour area and sometimes nearby lymph nodes in the neck. The plan is shaped to protect the spinal cord, salivary glands, jaw, mouth, and swallowing structures as much as possible.

How should I prepare?

You may need dental review, nutrition review, a planning scan, and a custom mask. Tell the team if you already have swallowing problems, loose teeth, mouth sores, or weight loss.

How is the treatment performed?

The machine delivers radiation from outside the body while you lie still. The mask may feel tight, but you can breathe through it.

How long does treatment take?

Each session may take 10 to 30 minutes. The full course often runs over several weeks.

03 · Important exceptions

Safety and special situations

Can children have this treatment?

Yes, but only with specialist paediatric cancer planning. Children need extra support for positioning, nutrition, and long-term follow-up.

Can I have this treatment if I am pregnant?

Pregnancy Precaution

Tell your doctor or radiotherapy team if you are pregnant or think you might be. Even when the treatment is away from the womb, pregnancy must be reviewed before radiotherapy starts.

04 · Know the red flags

When to seek urgent help

When should I seek urgent help?

Seek urgent help for new breathing difficulty, choking, significant bleeding, confusion, or inability to swallow fluids. Contact the team promptly for fever, uncontrolled pain, dehydration, rapid weight loss, or a feeding tube problem.

05 · Learn more

Sources and summary

Sources and further reading
  • National Cancer Institute: Head and Neck Cancers
  • National Cancer Institute: Head and Neck Cancer Treatment
Conclusion

Head and neck radiotherapy needs teamwork: cancer care, mouth care, nutrition, pain control, and speech or swallowing support. Tell the team early if eating, drinking, or breathing becomes harder.

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Back to Radiotherapy guides

In this guide

At a glanceAbout this scanBefore your appointmentSafety and special situationsWhen to seek urgent helpSources and summary