Head & Neck Onco Surgery

Head and neck cancers are one of the most complicated cancers of the human body. They develop mostly in the mouth, nose, sinuses and salivary glands. Most of the head and neck cancers found in patients are of squamous cell origin. 

These cancers develop in the moist tissues that line the surface of the head and neck. 

Once the patient is diagnosed with a head and neck cancer of any type and origin their healthcare providers may recommend a specific surgical treatment depending upon the stage of the disease. 

Why is head and neck oncology surgery advised by doctors?

Your doctor or oncologist suggests head and neck Onco surgery due to the below-mentioned reasons. 

  • For the removal of the tumour: The primary goal of the head and neck Onco surgery is to remove the tumour. Cancerous cells of the tumours may evade the healthy tissues of your body resulting in fatal consequences. 
  • For better prognosis: Head and neck Onco surgery can be a curative treatment for some tumours. In other cases, it can be used in combination with radiotherapy, chemotherapy, or palliative treatments to improve the prognosis. 
  • To diagnose cancer: In certain specific cancers, a head and neck Onco surgery can be used to diagnose cancer. A biopsy can be performed through head and neck surgery and samples of tissues can confirm the presence of cancerous cells,  its type and stage. 
  • To improve the functionality: Surgery may also be advised by the healthcare providers or doctors to improve the overall appearance of the patients. In some cases due to head and neck cancer patients may have difficulty in breathing,  speaking or swallowing. 

Remember that head and neck Onco surgery is a complex procedure involving various factors. Hence, it will depend upon the overall condition of the patient whether an Onco surgery should be performed or not. 

What type of diseases can be treated through head and neck Onco surgery? 

Head and neck Onco surgeries are often advised to treat malignant tumours. Some of the conditions it can treat are: 

  •  Squamous cell carcinoma: It is the most common type of cancer that affects the areas like tongue, lips, throat and mouth. 
  •  Salivary gland tumours: The head and neck Onco surgery can treat non-cancerous conditions situated in the salivary glands. 
  •  Thyroid and parathyroid cancers: These cancers can affect the thyroid and parathyroid structures located in the head and neck region that may be removed surgically. 

Who are the ideal candidates for this procedure? 

The ideal candidates for head and neck Onco surgery are given below. 

  • Medically fit patients: The patients who are strong enough to tolerate the surgical procedure and associated complications are considered fit for the treatment. Additionally, the medical fitness of the patient will depend upon the  assessment of their heart function, lung function, liver function, etc. 
  • Early-stage cancers: Head and neck Onco surgery is the most effective treatment for cancers at an early or benign stage.
  • Patients having the ability to tolerate functional changes: Head and neck cancers can affect the normal functions of the body like speaking, swallowing and breathing. So the ideal candidates are those who can potentially adapt to these  changes or have the ability to undergo rehabilitation to improve these functions. 

The expertise of Action Cancer Hospital in Head and Neck Oncosurgery 

The Action Cancer Hospital is one of the best healthcare facilities for people suffering from cancer. Our team of healthcare experts offers a comprehensive range of effective treatments. The dedicated team of oncologists has proven experience in delivering head and neck Oncosurgery with utmost precision and care to patients. 
Below are some key points that will help you understand the services offered at Action Cancer Hospital:

  •  Our head and neck oncologists are highly experienced in their fields and have a track record of providing successful outcomes using conventional high-quality treatments. 
  •  At Action Cancer Hospital, we provide our patients with the latest advancements in head and neck Onco surgery to deliver precise and effective treatments. 
  •  We prioritize open and effective communication with our patients to help them understand the treatment plan better. 
  •  The team at Action Cancer Hospital is dedicated to offering a supportive and compassionate environment for those undergoing treatment.
     

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Conditions and Treatments

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Carcinoma Tongue

Carcinoma of the tongue is a type of oral cancer that affects the tissues of the tongue. Treatment often involves surgical removal followed by radiation and chemotherapy.

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Carcinoma Buccal mucoa

Carcinoma of the buccal mucosa is a type of oral cancer that affects the inner lining of the cheeks. Treatment typically involves surgical excision followed by radiation or chemotherapy.

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Basal Cell Carcinoma

Basal cell carcinoma is a common type of skin cancer that rarely spreads but can cause significant local damage. Treatment often involves surgical excision and/or radiation therapy.

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Branchial Cyst

A branchial cyst is a congenital fluid-filled sac that forms on the side of the neck, typically requiring surgical removal to prevent infection and recurrence.

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Branchial Fistula

A branchial fistula is an abnormal connection that forms between the skin and the throat or neck, often requiring surgical correction to prevent infection and other complications.

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Carbuncle of Nape

A carbuncle of the nape is a severe skin infection involving multiple hair follicles, leading to a painful lump. Surgical drainage and antibiotics are typically required for treatment.

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Carcinoma Alveolus

Carcinoma alveolus is a type of cancer that affects the alveolar ridge, the bony part of the mouth that holds the teeth. Treatment often involves surgical excision followed by radiation or chemotherapy.

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Carcinoma BOT

Carcinoma of the base of tongue (BOT) is a cancer that affects the back part of the tongue. It often requires a combination of surgery, radiation, and chemotherapy for effective treatment.

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Carcinoma Floor of Mouth

Carcinoma of the floor of the mouth is an oral cancer affecting the area under the tongue. Treatment often involves surgical excision followed by radiation or chemotherapy.

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Carcinoma Hypopharynx

Carcinoma of the hypopharynx is a cancer that affects the bottom part of the throat. Treatment typically involves surgical removal followed by radiation and chemotherapy.

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Carcinoma Larynx

Carcinoma of the larynx, or laryngeal cancer, affects the voice box. It often requires a combination of surgery, radiation, and chemotherapy for effective management.

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Carcinoma LIP

Carcinoma of the lip is a type of oral cancer that affects the lips. Treatment typically involves surgical excision, often followed by radiation therapy or chemotherapy.

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Carcinoma Mastoid

Carcinoma of the mastoid involves cancerous growths in the mastoid process of the temporal bone. Surgical removal is the primary treatment, sometimes accompanied by radiation or chemotherapy.

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Carcinoma Oropharynx

Carcinoma of the oropharynx affects the middle part of the throat, including the back of the tongue, tonsils, and soft palate. It often requires a combination of surgery, radiation, and chemotherapy.

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Carcinoma Palate

Carcinoma of the palate involves cancerous growths on the hard or soft palate of the mouth. Treatment typically involves surgical removal followed by radiation or chemotherapy.

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Carcinoma RMT

Carcinoma of the retromolar trigone (RMT) is a cancer located in the area behind the last molar in the oral cavity. Surgical excision is the primary treatment, often followed by radiation or chemotherapy.

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Carcinoma Thyroid

Carcinoma thyroid is a malignant tumor that originates in the thyroid gland. Treatment often involves surgical removal of the thyroid followed by radioactive iodine therapy or other adjuvant therapies.

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Erythroplakia

Erythroplakia is a red patch or lesion in the mouth that can be precancerous and requires surgical removal to prevent progression to cancer.

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Goitre

Goitre is an enlargement of the thyroid gland, which can cause symptoms such as difficulty swallowing and breathing. Surgical removal may be necessary in some cases.

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Laryngocele

A laryngocele is an abnormal air-filled sac that forms in the larynx, which can cause breathing and swallowing difficulties. Surgical removal is often necessary to relieve symptoms and prevent complications.

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Leukoplakia

Leukoplakia is a white patch or plaque that develops on the mucous membranes of the mouth, which can be precancerous. Surgical removal may be necessary to prevent progression to cancer.

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Malignant Melanoma

Malignant melanoma is a highly aggressive skin cancer that can occur in the head and neck region. Surgical excision is often required to remove the tumor and surrounding tissues.

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Osteosarcoma of Mandible

Osteosarcoma of the mandible is a rare but aggressive bone cancer that affects the jawbone. It requires specialized surgical intervention for effective treatment.

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Papilloma

Papillomas are benign epithelial tumors that can occur in various parts of the body, including the head and neck region. They may require surgical removal if symptomatic.

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Parathyroid Adenoma

Parathyroid adenoma is a benign tumor of the parathyroid glands that can cause hyperparathyroidism, leading to elevated calcium levels in the blood. Surgical removal is often required.

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Parathyroid Carcinoma

Parathyroid carcinoma is a rare cancer that affects the parathyroid glands, leading to overproduction of parathyroid hormone and severe hypercalcemia. Surgical removal is the primary treatment.

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Ranula

A ranula is a type of cyst that forms on the floor of the mouth due to a blocked salivary gland. Surgical removal is often necessary to prevent recurrence and complications.

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Thyroglossal Cyst

A thyroglossal cyst is a congenital neck mass that can cause swelling and discomfort. Surgical removal is often required to prevent complications.

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Verrucous carcinoma

Verrucous carcinoma is a slow-growing type of skin cancer that typically affects the oral cavity and other head and neck regions. It requires specialized surgical intervention for effective treatment. Action Cancer Hospital provides expert care for verrucous carcinoma with our specialized Head & Neck Onco Surgery team. Our advanced techniques and compassionate care ensure optimal outcomes for our patients.

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Commando Surgery

Commando surgery is an extensive surgical procedure involving the removal of the jaw, floor of the mouth, and tongue, often performed to treat advanced oral cancers. This complex surgery requires meticulous planning and expertise.

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Modified Radical neck dissection

Modified radical neck dissection involves removing lymph nodes and some surrounding structures in the neck while preserving certain muscles, nerves, and veins. This procedure treats head and neck cancers with less extensive surgery than a radical neck dissection.

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Supraomohyoid neck dissection

Supraomohyoid neck dissection is a surgical procedure to remove lymph nodes from the neck to treat or prevent the spread of head and neck cancer. This procedure targets lymph nodes above the omohyoid muscle.

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Maxillectomy

Maxillectomy is the surgical removal of the maxilla (upper jaw bone) to treat tumors or severe infections. This procedure can involve partial or total removal, depending on the extent of the disease.Maxillectomy is the surgical removal of the maxilla (upper jaw bone) to treat tumors or severe infections. This procedure can involve partial or total removal, depending on the extent of the disease.

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Free ALT flap

The Anterolateral Thigh (ALT) flap is a reconstructive technique that uses tissue from the thigh to repair large defects in the head and neck region. This flap provides robust coverage and can include both skin and muscle.

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Free Radial artery forearm flap

The free radial artery forearm flap involves using tissue from the forearm, including skin, fat, and blood vessels, to reconstruct defects in the head and neck region. This flap is highly versatile and provides excellent functional and cosmetic results.

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MSAP flap

The Medial Sural Artery Perforator (MSAP) flap is a reconstructive technique using tissue from the medial calf to repair defects in the head and neck region. This flap provides excellent coverage and vascularity for complex reconstructions.

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Parotidectomy(Superficial/Total)

Parotidectomy is a surgical procedure to remove the parotid gland, the largest salivary gland located near the ear. A superficial parotidectomy removes only the superficial lobe, while a total parotidectomy removes the entire gland. This procedure is often performed to treat tumors.

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Submandibular gland excision

Submandibular gland excision is the surgical removal of the submandibular gland, one of the major salivary glands located beneath the lower jaw. This procedure is performed to treat tumors, chronic infections, or stones.

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Sentinel Lymph node biopsy

Sentinel lymph node biopsy involves removing the first lymph node(s) to which cancer cells are likely to spread from a primary tumor. This minimally invasive procedure helps determine the extent of cancer spread and guide treatment.

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Supraclavicular fossa clearance

Supraclavicular fossa clearance is a surgical procedure to remove lymph nodes and tissues from the supraclavicular fossa (the area above the collarbone) to treat cancer spread. This procedure helps prevent further cancer dissemination.

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PMMC flap

The pectoralis major myocutaneous (PMMC) flap is a reconstructive technique that uses tissue from the chest muscle and skin to repair defects in the head and neck region. This flap is commonly used for large reconstructions after cancer surgery.

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Scalp flap

A scalp flap is a surgical technique that uses tissue from the scalp to reconstruct defects caused by trauma, cancer resection, or other conditions. This procedure provides effective coverage and promotes healing.

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Median forehead flap

The median forehead flap is a reconstructive technique that uses tissue from the forehead to repair defects in the nose and midface. This flap provides excellent vascularity and tissue match for nasal reconstruction.

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Hemimandibulectomy

Hemimandibulectomy is the surgical removal of one side of the lower jaw (mandible) to treat cancer or severe trauma. This procedure helps eliminate disease and restore oral function.

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Free Fibula flap

The free fibula flap is a reconstructive surgical technique that uses bone, skin, and soft tissue from the fibula (lower leg) to reconstruct defects in the jaw, particularly after tumor resection. This flap provides excellent structural and aesthetic outcomes.

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Enucleation

Enucleation is the surgical removal of the entire eye, including the eyeball, but leaving the eye muscles and orbital contents intact. This procedure is often necessary to treat malignant tumors of the eye or severe trauma.

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Evisceration

Evisceration is a surgical procedure involving the removal of the eye's contents while leaving the scleral shell and extraocular muscles intact. It is usually performed to treat severe eye infections or trauma that cannot be managed by other means.

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Rhomboid flap

The rhomboid flap, or Limberg flap, is a surgical technique used to cover skin defects by creating a rhomboid-shaped flap from adjacent tissue. This versatile flap allows for effective reconstruction with minimal tension on the wound.

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Bilobed flap

The bilobed flap is a reconstructive surgical technique that uses two connected flaps of skin to cover defects, particularly in the face. This method allows for effective tissue coverage and contour restoration with minimal tension.

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Radical neck dissection

Radical neck dissection is a surgical procedure to remove lymph nodes and surrounding tissues in the neck to treat cancer. This extensive surgery helps prevent the spread of cancer and is often performed for advanced head and neck cancers.

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Nasolabial flap

The nasolabial flap is a surgical technique that uses tissue from the nasolabial fold (the area between the nose and the upper lip) to reconstruct defects in the face, particularly around the nose, lips, and cheek.

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Nerve grafting

Nerve grafting is a surgical procedure to repair damaged nerves by transplanting healthy nerve tissue from another part of the body. This procedure helps restore nerve function and improve sensory or motor deficits.

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Lipofilling

Lipofilling, or fat grafting, involves harvesting fat from one part of the body and injecting it into another area to restore volume and improve contour. This procedure is often used for facial reconstruction or cosmetic enhancement.

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Split thickness grafting

Split thickness grafting involves taking a thin layer of skin from a donor site and transplanting it to a recipient site to cover a wound, burn, or surgical defect. This procedure promotes healing and restores skin integrity.

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ITF clearance

Infratemporal fossa (ITF) clearance is a complex surgical procedure to remove tumors from the ITF, an area located deep within the skull. This procedure requires meticulous planning and expertise to address tumors while preserving critical structures.

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Tracheostomy

Tracheostomy is a surgical procedure to create an opening in the neck and insert a tube into the trachea (windpipe) to provide an airway and remove secretions from the lungs. It is often performed for patients with airway obstruction or respiratory failure.

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MLS surgery

Microlaryngeal surgery (MLS) is a minimally invasive procedure performed using a microscope and specialized instruments to treat conditions affecting the vocal cords and larynx, such as nodules, polyps, or early-stage cancer.

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Direct Laryngoscopy

Direct laryngoscopy is a procedure that uses a laryngoscope to visualize the larynx (voice box) and vocal cords. It is performed to diagnose and treat conditions such as tumors, vocal cord lesions, or airway obstructions.

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DL biopsy

A direct laryngoscopy (DL) biopsy involves using a laryngoscope to visualize and take tissue samples from the larynx or vocal cords for diagnostic purposes. This procedure helps diagnose conditions such as cancer, infections, or other abnormalities.

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Sistrunk procedure

The Sistrunk procedure is a surgical technique used to remove a thyroglossal duct cyst, a congenital neck cyst. The procedure involves removing the cyst along with a portion of the hyoid bone to prevent recurrence.

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Hemithyroidectomy

Hemithyroidectomy, also known as partial thyroidectomy, involves the surgical removal of one lobe of the thyroid gland. This procedure is often performed to treat benign nodules, thyroid cancer, or hyperthyroidism affecting only one lobe.

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Total thyroidectomy

Total thyroidectomy is the surgical removal of the entire thyroid gland, typically performed to treat thyroid cancer, large goiters, or hyperthyroidism. This procedure helps eliminate the disease and restore health.

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Isthmectomy

Isthmectomy is the surgical removal of the thyroid isthmus, the thin tissue connecting the two lobes of the thyroid gland. This procedure is often performed to remove a tumor or nodule located in the isthmus.

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Oral biopsy

An oral biopsy involves removing a small sample of tissue from the mouth for laboratory analysis. This procedure helps diagnose conditions such as oral cancer, infections, or other abnormalities.

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Neck exploration

Neck exploration is a surgical procedure to examine and address abnormalities in the neck, such as tumors, lymph nodes, or other structures. This procedure is essential for diagnosing and treating various head and neck conditions.

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Parathyroid excision

Parathyroid excision is the surgical removal of one or more parathyroid glands, usually to treat hyperparathyroidism caused by an overactive gland or tumor. This procedure helps restore normal calcium levels in the body.

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4 gland Exploration

Four gland exploration is a surgical procedure to examine all four parathyroid glands to diagnose and treat conditions such as hyperparathyroidism. This thorough examination helps in identifying and addressing abnormal parathyroid function.

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Parathyroid autotransplantation

Parathyroid autotransplantation involves transplanting parathyroid tissue to another part of the body, often performed during thyroid or parathyroid surgery to preserve parathyroid function and maintain calcium levels.

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Incision and drainage

Incision and drainage is a minor surgical procedure to treat abscesses or infections by making an incision and draining the pus or fluid. This procedure helps relieve pain and promote healing.

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Ranula excision

Ranula excision is a surgical procedure to remove a ranula, a cyst that forms on the floor of the mouth due to blocked salivary glands. This procedure helps alleviate discomfort and prevent recurrence.

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Radical mastoidectomy

Radical mastoidectomy is a surgical procedure to remove the mastoid bone and infected air cells in the ear, often performed to treat chronic ear infections or mastoiditis that do not respond to medical treatment.

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Chemoport insertion

Chemoport insertion involves placing a small device under the skin that connects to a central vein, allowing for easy administration of chemotherapy, medications, and fluids, as well as blood withdrawal.

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Hickman catheterisation

Hickman catheterisation involves placing a central venous catheter for long-term intravenous access. This catheter is used for administering chemotherapy, medications, and nutrition, as well as for blood draws.

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Esophagogastric Anastomosis.

Esophagogastric anastomosis is a surgical procedure that connects the esophagus to the stomach, often performed after removing part of the esophagus due to cancer. This procedure helps restore continuity of the digestive tract.

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Bilateral IJV ligation

Bilateral internal jugular vein (IJV) ligation is a surgical procedure to tie off both internal jugular veins. This procedure may be necessary to control severe bleeding or manage conditions involving the veins in the neck.

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Neck LN biopsy.

Neck lymph node (LN) biopsy involves the removal of a lymph node or a small sample from a lymph node in the neck to diagnose or stage cancer. This procedure helps determine the presence and extent of cancer spread.

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TOTAL Laryngectomy

TOTAL laryngectomy is a surgical procedure involving the complete removal of the larynx (voice box) to treat advanced laryngeal cancer. This procedure results in a permanent stoma (opening) in the neck for breathing and requires significant postoperative rehabilitation.

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Endoscopic Laser resection

Endoscopic laser resection is a minimally invasive procedure used to remove tumors in the head and neck region using laser technology. This technique allows for precise tumor removal with minimal damage to surrounding tissues and faster recovery times.

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Skull base surgery

Skull base surgery involves the removal of tumors located at the base of the skull. This complex procedure requires specialized techniques and a multidisciplinary team to achieve effective tumor removal while preserving critical structures.

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Craniofacial Resection

Craniofacial Resection

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Our Experts

Dr. Rajesh Kr. Jain

Director

Surgical Oncology, Head & Neck Onco Surgery, Breast Onco Surgery, Thoracic Onco Surgery, Musculoskeletal Oncology, Endocrine Surgery

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Dr. Rajesh Kr. Jain

Director

Dr. Ishan Mohan

Principal Consultant

Surgical Oncology, Head & Neck Onco Surgery, Breast Onco Surgery, Thoracic Onco Surgery, Musculoskeletal Oncology, Endocrine Surgery

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Dr. Ishan Mohan

Principal Consultant

Dr. Pranjal Kulshreshtha

Senior Consultant

Surgical Oncology, Head & Neck Onco Surgery, Breast Onco Surgery, Thoracic Onco Surgery, Musculoskeletal Oncology, Endocrine Surgery

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Dr. Pranjal Kulshreshtha

Senior Consultant

Emergency