The department of Head & Neck Surgery at Apollo Hospitals, Ahmedabad specializes in treating head, neck and skull base tumours. It functions closely with the departments of Neurosurgery, Plastic surgery, Radiation oncology, Medical oncology and allied specialties to provide the best comprehensive treatment for patients with head & neck tumours. Management strategies are worked out individually for each patient.
Head and Neck Tumour Surgery
Surgical management of benign (non-cancer) and malignant (cancer) lesions of the head and neck, such as composite resection of mouth cancers, total and partial laryngectomy (removal of voice box), voice rehabilitation procedures (voice prosthesis), and surgeries for cancer of the sinuses, salivary gland (Parotidectomy) and hypopharyngeal cancers (upper part of food passage) are being done regularly. After tumour resection, reconstruction is done using a combination of microvascular techniques by the plastic surgeons and osseointegrated implants by the dental surgeons to bring the quality of life of the patients as close to normal as possible.
Tumours arising from the sinuses and ear, because of their location invade the structures that separate the brain from the rest of the head and neck (skull base). Combined efforts of the ENT, Head & Neck surgeons, neurosurgeons and the plastic surgeons have increased the ability to resect these tumours with preservation of function and appearance. Malignant skull base tumours arising from the sinuses, ear, nasopharynx and infratemporal fossa are resected with good results.
Benign tumours like acoustic neuromas, glomus jugulare tumours and other cerebellopontine angle tumours as well as facial nerve pathologies are operated using otoneurosurgical techniques. Retraction of the normal brain to expose these tumours can produce significant morbidity. The otoneurosurgical techniques reduce or eliminate brain retraction. Intraoperative electrophysiological monitoring of the cranial nerves is carried out to preserve their function.
Dr. Vishal Choksi
Dr. M.I. Lakshmidhar