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Cancer of the head and neck continues to be a challenge. Increasing
incidence has pushed malignancy of the upper aerodigestive tract
into the first rank of cancer. In some countries it follows
bronchial carcinoma in frequency and is more common than
gastro-intestinal and gynaecological cancer. This increasing
incidence makes it difficult to train enough highly specialised
staffwho are also responsible for the care of many other patients,
requiring sophisticated microsurgery of the ear and nose. The
question of quality is even more difficult. Oncological success in
the treat ment of head and neck cancer is bought at the price of
crippling of vital functions such as eating, breathing, voice and
sight and furthermore of striking aesthetic de formity. Mutilation
of this highly functional collection of organs is more keenly felt
than that of any other region of the body. It is vital, therefore,
that the surgeon keeps up with the recent achievements of
functional surgery in order to offer the best ser vice to his
patients. Cancer of the larynx is no exception. Despite newer
techniques of radiotherapy and chemotherapy, surgery still gives
the best oncological results. This requires a wide spectrum of
operations varying from minimal ablation to total laryngectomy."
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