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In Reply.—I enjoyed reading Dr Crutcher's letter in response to my article entitled, "Dabblers in Head and Neck Oncology (A Plea for Added Qualifications)" that appeared in the November 1987 issue of the Archives.
I basically agree with paragraphs 3, 4, and 5 in his letter, and actually they do support the concepts of additional training that I believe are necessary to be a highly qualified physician relative to the management of malignant neoplasia of the head and neck.
Dr Crutcher brings up a number of interesting points in his letter, which I have discussed and written about a number of times. Fundamentally, it is the problem that otolaryngology today includes both medical and surgical aspects of lesions of the upper aerodigestive tract as well as aspects of the neurosensory communicative disorders. Fundamentally, the problem is the overlap of what we might call head and neck medicine with head and
LORÉ JM. Dabblers in Head and Neck Oncology-Reply. Arch Otolaryngol Head Neck Surg. 1988;114(5):581–582. doi:10.1001/archotol.1988.01860170111039
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