Inclusion Criteria:  Patients with head and neck malignancy (including radiation therapy to primary head cancers of any histology and/or neck lymphatics, excluding brain malignancies) Biopsy proven diagnosis of head and neck malignancy Planned to receive definitive chemoradiation of at least 66Gy Age 18 years or older Eastern Cooperative Oncology Group (ECOG) performance status 0 - 2 Written Informed Consent History and Physical within 12 weeks of enrollment  Exclusion Criteria:  Prior head and neck radiotherapy Neoadjuvant chemotherapy Any serious medical condition or illness that would preclude the safe administration of the trial treatment including, but not limited to, active infection, symptomatic heart failure, unstable angina, psychiatric illness or social situations that would limit compliance with treatment Currently taking proton pump inhibitors. Eligible if discontinues with physician approval. Lack of concurrent chemotherapy Open wound at time of simulation Known autoimmune, connective tissue, or skin disorder; or other theoretical radiosensitivity to include bullous pemphigoid, dermatomyositis, lupus of the skin and scleroderma