Abstract:The incidence of head and neck squamous cell carcinoma(HNSCC) has been gradually increasing in the world. And more patients with HNSCC are diagnosed at advanced stages and often with metastases by epidemiological trend of HNSCC.The factors of HNSCC developing metastasis in the tumor microenvironment have attracted more and more attention. In this paper, we reviewed the cell communication role of exosomes and the role of epithelial mesenchymal transformation(EMT) in tumor progression, the relationship between exosomes and EMT, the research progress of exosomes in EMT of HNSCC, and the clinical application prospects of exosomes in tumor EMT. This paper provides the effect of exosomes on EMT in the tumor microenvironment of HNSCC.