With the emergence of sub-specialist organisations related to ORL-HNS, eg. Otology, Rhinology, Laryngology and Head and Neck Surgery starting from the late 1960s – such as the European Rhinological Society (ERS) in 1963, the European Laryngological Society (ELS) in 1995, the European Academy of Otology and Neuro-otology (EAONO) in 1995 and, more recently, the European Head and Neck Society (EHNS) in 2005 – there developed a need to coordinate their activities.

This was the driving force behind forming the European Academy of Otorhinolaryngology, Head and Neck Surgery (EAORL-HNS) to bring together all of the European sub-speciality organisations in collaboration with EUFOS and UEMS. The EAORL-HNS was registered in Vienna in 2005.

In 2011, EAORL-HNS and EUFOS joined forces by founding the Confederation of European ORL-HNS (The Confederation). In 2013, in a next step, both societies were dissolved so as to "create one voice for ENT in Europe and beyond".

The Confederation now consists of two groups - that of the "subspecialties societies" and that of the "national societies".