I really thank the Italian Society of Otorhinolaryngology and Head & Neck Surgery for assigning me such a difficult task. Our specialty has experienced a profound change over the last twenty years, by refining the knowledge about the spectrum of ENT diseases and improving our surgical performance with an increasing number of surgical treatment modalities. This new wave of innovation changed our way of working, driving us to exceed our limit and going beyond the line of the standard ENT anatomic fields. In this scenario, great efforts have been made in order to cope with the risks of a new extended surgical approach, requiring an integrated collaboration with other head and neck surgical specialists.