All human beings have the dream to one day completely regenerate damaged tissues and organs. The past three decades have seen the emergence and development of advanced tissue engineering and regenerative medicine and the great potential now exists to make this dream a reality. However, forecasting the future direction of tissue engineering and regenerative medicine is no simple matter. Within a span of less than 10 years, induced pluripotent stem cells (iPSCs) were established and the three-dimensional bioprinter (3D bioprinter) were developed. These innovations that seemed beyond the scope of our imagination have the potential to make remarkable progress and dramatic shifts in the medical fi eld.For simple tissues, such as skin and blood vessels, these innovations have achieved some marked success. However, there are major issues that limit the application of these strategies to complex tissues and organs. It is unreasonable to expect that simple implantation of organs created ex vivo into the living body will result in successful regeneration. Blood supply is an absolute requirement for engraftment into the host and innervation is also necessary for functional regeneration. The key to complete successful regeneration lies in the appropriate combination of cells, scaffolds, and regulatory factors, and critical to this is the creation of a favorable regenerative environment.The otolaryngology, head and neck fi eld, encompasses regions that consist of various organs and tissues that are critical for maintaining important functions such as mastication, articulation, phonation, respiration, and swallowing. These body systems also have several important neurosensory functions including hearing, balance, smell, and taste. Once these functions have deteriorated, quality of life (QOL) is greatly compromised. This fi eld represents one of the best opportunities where tissue engineering and regenerative medicine is expected to work as an innovative