Abstract: Oral tongue cancers are very aggressive, known for skip metastasis, high recurrence rates and poor salvage results. Strong et al [3] stated that 60% of patients died of neck recurrence when they were managed by only resection of primary and observation of neck [3]. SOHND [Supra omohyoid neck dissection] is not adequate enough for complete pathological evaluation of all neck nodes at risk for patients of oral tongue malignancy. [2]