Intracavitary radiotherapy is conceptually an attractive method of boo
sting dose to nasopharynx cancer whilst sparing sensitive normal tissu
es. A high dose rate (HDR) microselectron can be used to deliver a bra
chytherapy boost conveniently, safely, comfortably aad effectively. Fo
llowing external radiotherapy a single outpatient treatment has been g
iven to patients using the remote afterloading system of sources place
d in modified paediatric endotracheal tubes. This has been associated
with good primary control and no evidence of serious morbidity in eigh
t patients. The main limitation of this method is restriction of its u
tilization to small volume primary disease.