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Bobby R. Alford, MD

JAMA. 1987;258(22):3294-3295.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE SUCCESS of the modern head and neck oncological surgeon in curing patients with head and neck cancer is due in large part to the principles that evolved from the astute clinical observations of George Crile, MD, and the truly imaginative and bold surgical concepts that he fostered. In his monumental article published in JAMA in 1906, he demonstrated the effectiveness of en bloc resection of regional lymph nodes and other lymphatic structures in the neck, including resection of the sternocleidomastoid muscle, the internal jugular vein, and the submaxillary salivary gland, in rendering patients free of disease.

What led Crile to the surgical concepts he advocated was his observation that patients with head and neck cancer died primarily because the site of origin of the tumor was not controlled and/or the cancer had spread to regional neck structures. His basic premise was that each patient with cancer of the head . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston.

Footnotes
Reprint requests to the Department of Otorhinolaryngology and Communicative Sciences. Baylor College of Medicine. One Baylor Plaza, Houston, TX 77030 (Dr Alford).

A commentary on Cirle G: Excision of cancer of the head and neck: With special reference to the plan of dissection based on 132 operations. JAMA 1906;47:1780-1786.

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