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DEPARTMENT OF SURGICAL ONCOLOGY
ENT, HEAD AND NECK UNIT
Introduction
ENT, Head and Neck unit is mainly dedicated for the detection and treatment of the premalignant and
malignant conditions of Head and Neck region, considering the high indulgence in addiction habit of
chewing tobacco, consumption of alcohol, smoking cigarettes has been major factor for Head and Neck
malignancies being the most common malignancy in our country. Due to lack of awareness and insufficient
screening programs nationwide most of the patient present in late stage of the malignancy thus posing
challenge for the treatment of the disease; surgery as well as adjuvant therapy.
Head and Neck region is complex anatomical site and plays important role in the physiology of digestion,
deglutition, respiration, and speech voice production. This demands more challenging work to treat,
so that the postoperative period physiological outcome becomes normal or near to normal. The Head
and Neck region represents the major portion for the cosmetic factor it leads to more challenge for the
postoperative cosmetic outcome.
For the treatment of the Head and Neck cancer a multidisciplinary approach is needed. Surgical, Radiation
and Medical oncology work together to provide the best possible treatment to the patient. Patient with
advance stage of disease are predominating in our hospital which makes treatment more challenging.
We follow the standard treatment protocols incorporating with radiation and chemotherapy as needed in
adjuvant or neoadjuvant setting.
ENT, Head and Neck surgery unit is continuously upgrading our technique in terms of radical resection
and reconstruction of the area involved using local flap and regional flap. Commonly performed
surgeries are Total Thyroidectomy, Composite resection of Buccal Mucosa, Hemi/Segmental/Marginal
Mandibulectomy Parotidectomy, Hemi/Total Glossectomy, Laryngectomy, Maxillectomy. Various Flaps are
used for reconstruction like; Pectoralis Major Flap, Perctoralis Major Myocutaneous Flap, Nasolabial Flap,
Sub Mental Island Flap, Detopectoroal Flap, Forehead Flap.
Services
Department of Ent, Head and Neck surgery unit runs OPD services 3 days a week; Sunday, Tuesday and
Thursday and Major Operation rest 3 days of week: Monday, Wednesday and Friday. Minor surgeries and
Biopsies are performed daily. Total 25 beds are allocated to this unit. Total 1029 cases were operated on
2018 among them 372 were major cases, 305 were intermediate and 352 were minor cases.
Table 1 : Surgeries Performed in Year 2018
CASES
NUMBER
CASES
NUMBER
Direct Laryngoscopy
204
Total Maxillectomy
13
Excisional Biopsy
144
Total Glossectomy
10
Wide Local Excision of Buccal Muco-
Total Laryngectomy
8
115
sa and Reconstruct on
Examinat on Under Anesthesia
8
Incisional Biopsy
106
B/L Tonsillectomy
6
Extended/hemi/segmental Mandib-
85
Punch Biopsy (at Operat on Theater
ulectomy
6
Only)
Debridement and Re-suturing
82
Microscopic Laryngeal Surgery
4
Sinuscopy Biopsy
78
Incision and Drainage
1
Laser Fulgurat on
68
Others
23
Total Thyroidectomy
54
Emergency Tracheostomy
14
25
