Abstract
The goal of any treatment for cancer is to achieve the highest possible likelihood of cure and the best possible quality of life. For a number of tumors, radical surgical procedures have been replaced by more conservative and less disfiguring ones, with no decrement in survival. For example, supraglottic laryngectomy in appropriately selected patients allows speech to be preserved without compromising the rate of cure1. But a single technique can go only so far. It is therefore encouraging that combined approaches developed in a stepwise fashion from clinical trials have allowed standards of care to evolve to the point . . .