Modern brachytherapy (BT) is playing an important role in the multidisciplinary treatment
of Head and Neck (H&N) cancer, as an organ- and function-preserving therapy. Low-dose-rate
(LDR) technology has been replaced by modern remote afterloading and stepping source
equipment using pulsed dose rate (PDR) or high dose rate (HDR) sources, improved image
guidance and 3D treatment planning systems. This is an update of the previous GEC-ESTRO
recommendations for H&N tumors, mainly applied to squamous carcinomas. Indications,
results and recommended doses for different tumor sites are presented according to
the published studies.