“…6,7 No significant increase in survival rates had occurred in the last few decades in spite of new surgical techniques, radiotherapy and concomitant chemotherapy. 4,5,6,8 Epidemiologic studies have suggested a multifactor etiology for this cancer; these predisposing factors include smoking, alcohol use, human papilloma virus (HPV) infection, and genetic factors. 1,4,7,9,10 Genetic polymorphisms leading to folate deficiency appear to facilitate the onset and growth of head and neck squamous cell carcinoma and other types of cancer.…”