Its all in the genes!

A 42 year old female was seen at an outside facility for progressive bilateral hearing loss and was referred to the otology clinic. On further enquiry, she gave history of chronic head ache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented […]

TNM Staging of Oropharyngeal Cancer – Updates in AJCC 8th Edition

The recently released 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, Head and Neck Section, introduces significant modifications from the prior 7th edition. In the head and neck domain, the most significant update creates a separate staging algorithm for high-risk human papilloma virus (HPV)-associated cancer of the oropharynx, distinguishing it from oropharyngeal cancer […]

Indications and Contraindications for total laryngectomy

Total laryngectomy is a surgical procedure mostly done for malignancies involving the larynx. In this surgery, the entire larynx (voice box) is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior part of the neck (permanent tracheostomy) and thereby closing off the air passages to the […]

I feel breathless!

42 year old male patient presented with a non healing ulcer on right lateral border of tongue for 3 months. A biopsy from the lesion proven to be well differentiated squamous cell carcinoma. After metastatic workup, he underwent wide excision of the lesion with ipsilateral neck dissection. On post op follow up, patient presented with complaints […]

Cell phone radiofrequency could enhance head and neck cancers – New study says

Developments in wireless communication technology over the last twenty years resulted in increasingly widespread use of mobile phones and wireless systems for communication purposes. This has led to concerns regarding potential adverse health effects, particularly of the central nervous system, of which the brain is the part most exposed to the radio frequency electromagnetic fields […]

Total Laryngectomy – Evolution, Workup, Surgical steps and Complications

Total laryngectomy is a surgical procedure in which the entire larynx is removed by resecting the trachea and bringing out the lower stump as a respiratory opening in the anterior part of the neck (permanent tracheostomy) and thereby closing off the air passages to the mouth and nose. The patient permanently loses his/her natural voice […]

Replacement of trachea with aortic grafts – a novel treatment for tracheal stenosis

Replacement of trachea after extensive resection still remains as a major challenge for the thoracic surgeons even after decades of intensive research. End to end anastomosis is difficult or almost not possible, when more than 5-6 cm of trachea is resected out. Several clinical solutions with skin, esophagus and bowel etc. have been proposed to tackle […]

TNM Staging of Lip and Oral Cavity cancers – AJCC 8th Edition

The recently released 8th edition of the American Joint Committee on Cancer (AJCC) Staging Manual, Head and Neck Section, introduces significant modifications from the prior 7th edition. In this article we discuss about the changes in 8th edition of AJCC Oral cavity staging manual. T Staging For T staging of oral cavity, T4a and T4b are added […]

TNM AJCC Staging of Head & Neck Cancers

Staging of cancer refers to classification of cancer by its anatomic disease extent, i.e, how large the tumor is, and if it has spread. This staging system of cancer helps to express severity or extend of disease to estimate the prognosis of the disease provides useful information for treatment decision like planning, evaluation of results etc. facilitate the […]

What’s new in AJCC 8th Edition, Head and Neck section?

The recently released 8th edition of the AJCC TNM Cancer Staging Manual, Head and Neck Section incorporates significant changes based on advances in our understanding of the etiology and certain histologic attributes of tumors. The most significant update in AJCC 8th edition, is the creation of a separate staging algorithm for high risk human papillomavirus associated […]