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 […]

CLiKX – A novel device for treatment of Otitis Media with Effusion in Children

Otitis Media with Effusion (OME), also known as Glue ear, Secretory Otitis Media or Serous Otitis Media is a clinical condition characterized by collection of non-infected fluid in the middle ear space as a result of a cold, sore throat or upper respiratory infection. This is a highly common pediatric disease (can affect adults also) […]

Role of Balloon dilatation in chronic rhinosinusitis – Clinical consensus statement 2018

Chronic rhinosinusitis (CRS) is a clinical condition characterised by inflammation of the paranasal sinuses that typically lasts beyond twelve weeks. It is caused by infections, allergies, and the presence of sinus polyps or deviated septum. Signs and symptoms include headache, nasal discharge, swelling in the face, dizziness, and breathing difficulties. The condition is so common […]

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 […]

Adenotonsillectomy lowers high blood pressure in children with OSA

Obstructive sleep apnea (OSA) is a spectrum of disorders ranging from simple snoring to complete obstruction of upper airways during sleep, which affects both children and adults. The most common cause of obstructive sleep apnea in children is chronic adenotonsillar hypertrophy, and so adenotonsillectomy is considered as the first line treatment for OSA in children.

Clinical practice guidelines for tonsillectomy

Tonsillectomy is the second most commonly performed surgery in United States with more than 5,30,000 procedures performed on children younger than 15 years each year. Although tonsillectomy is a routine procedure performed by general and pediatric otolaryngologists, there is significant variation in preoperative, intraoperative, and postoperative patient treatment among clinicians. In order to avoid such variations […]

Staging systems for Juvenile Nasopharyngeal Angiofibroma

Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon, slow growing, benign but locally invasive vascular tumor arising from tissues in the sphenopalatine foramen inside nasal cavity. JNAs are also reported to arise from posterior aspect of middle turbinate and rarely from other sites of nasal cavity and in paranasal sinuses. JNA tumor was first described by […]