No one concerned in the preparation for returning him to normal, or near normal appearance, must at any time flinch at sight of him nor on the other hand, should the patient be regarded as a 'case'. Gillis (1959) wrote: 'those persons who are clearly associated with the patient who has suffered a gross deformity from the excision of a malignant tumour must, if they are to be successful in rehabilitating him, possess a deep understanding of human nature. Without doubt, though, the two most important parties concerned will be the patient and his family no rehabilitation can ever begin to be successful without co-operation and understanding from these. It can involve many people apart from the surgeon, radiotherapist and chemotherapist notable amongst these will be the prosthetist, the nurse, the speech therapist, the physiotherapist, the occupational therapist and the medical social worker. DOWNIE (London) REHABILITATION for the patient who undergoes radical surgery of the head and neck, is an ongoing process from the time of diagnosis to the time after his surgery when he resumes as near normal a life as possible.

The rehabilitation for patients following head and neck surgery* By P.

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