chapter  1
ByPatrick J. Bradley
Pages 14

INTRODUCTION The pace of change in the treatment of head and neck tumours has accelerated since the 1950s with a remarkable transition from predominantly ablative surgery to combined therapies focused on preservation of the form and function of the anatomic structures of the head and neck. This chapter will summarize the history of head and neck surgery, with information gleaned from published summaries of this history and original articles.1-9

The term ‘head and neck surgery’ dropped into obscurity from 1906 until 1948, when Hayes Martin used it in one of his early papers.10 In the same year, Grant Ward published an editorial11 which dened the future parameters of this ‘new’ surgical specialty.9, 10 This surgical discipline was progressed by several groups of surgeons which included Grant E. Ward and James W. Hendrick (19011992) of Johns Hopkins Hospital in the United States, who published of their extensive experience in caring of head and neck cancer patients in Tumors of the Head and Neck in 1950,12 with Sir Stanford Cade (1895-1973) General Surgeon and Radiotherapist, Westminster Hospital, Arthur John Gardham (1899-1983) General Surgeon, William Douglas Harmer (1873-1962), Otolaryngologist and Radiotherapist, St Barts. Hospital, Ronald William Raven (1904-1992), General Surgeon and Radiotherapist, St Barts. Hospital and others in Britain, and Henri Redon (1899-1974), Paris and Georges Portmann (1890-1985), Bordeaux who are to be credited with the formation of modern head and neck surgery.13