Overview - Head and Neck Surgery
Head and Neck Surgery involves the diagnosis and treatment of disorders in the head and neck region. This specialty addresses issues related to the throat, larynx, nose, sinuses, and mouth, as well as head and neck cancers. Procedures range from minimally invasive surgeries to complex reconstructions, aiming to restore function and appearance. The goal is to improve patients’ quality of life through effective management of both benign and malignant conditions.
Multidisciplinary Approach:
At SPARSH Hospitals, the Head and Neck Surgeons adopt a multidisciplinary approach, integrating expertise from otolaryngologists, oncologists, radiologists, and speech therapists. This collaborative strategy optimizes patient care, ensuring comprehensive evaluation, tailored treatment plans, and improved outcomes. The fusion of diverse specialties enhances the management of complex conditions such as tumours and reconstructive procedures.
Specialised Services:
Our Head and Neck Surgery Hospital in Bangalore specialises in the diagnosis and treatment of a wide spectrum of head and neck cancers and other non-oncological cases including congenital anomalies, trauma and other surgical interventions in the head and neck region, providing comprehensive care, from early detection to advanced treatment options.
Below are the key areas of expertise within our Head and Neck Oncology services:
a. Early and Advanced Oral Cancers:
Head and neck surgeons are crucial in comprehensive Oral Cancer Treatment, using advanced strategies tailored to different stages. In early cases, we perform precise tumour excisions and reconstructive procedures. For advanced oral cancer care, surgeons undertake complex interventions like neck dissections and targeted therapies, addressing the intricacies of disease progression. Our expertise extends beyond surgery, incorporating advanced diagnostic techniques and multidisciplinary approaches to optimise outcomes, enhance survival rates, and improve the overall well-being of patients facing oral cancer challenges.
b. Management of Premalignant Lesions:
In head and neck surgery for cancer, managing premalignant lesions such as leukoplakia, erythroplakia, and OSMF is crucial for preventing cancer development. Premalignant lesion management includes excisional biopsy, laser therapy, and close surveillance. Precise identification and removal of these lesions are vital in stopping their progression to malignancy. Surgery for prevention of cancer in head and neck hinges on early and effective intervention, ensuring better outcomes for patients.
c. Salivary Gland Tumours and Malignancies:
Head and Neck Surgeons play a vital role in managing salivary gland tumors and malignancies. Our expertise includes precise diagnostics, using imaging and biopsies to assess the tumor’s nature and extent. During Salivary Gland Surgery, we collaborate with a multidisciplinary team to ensure optimal outcomes, focusing on tumor control, facial nerve preservation, and maintaining gland function whenever possible.
d. Benign and Malignant Conditions of Thyroid and Parathyroid Glands:
Head and neck surgery is crucial for treating both benign and malignant conditions of the thyroid and parathyroid glands. In Thyroid and Parathyroid Surgery, we address thyroid nodules and goitres with precise interventions like thyroidectomies or thyroid lobectomies. For malignancies, surgical strategies may include tumor excision and lymph node dissections. Our goal is to restore glandular function, preserve surrounding structures, and achieve the best possible outcomes for patients with thyroid and parathyroid disorders. Thyroid Nodule Treatment is an integral part of this specialized care.
e. Minimal Access Surgery and Robotic-Assisted Surgery:
We are at the forefront of minimal access surgery and robotic-assisted surgery for head and neck tumours.
Minimal access surgery involves performing procedures through small incisions, using specialised instruments and cameras. Minimally Invasive Surgery Techniques reduce trauma, accelerate recovery, and minimises scarring compared to traditional open surgery. Robotic-assisted surgery, a subset of minimal access surgery, employs robotic systems controlled by surgeons. Robotic Surgery Benefits include enhanced precision, allowing for complex manoeuvres with improved dexterity. Both techniques contribute to reduced postoperative pain, shorter hospital stays, and quicker return to normal activities for patients.
f. Laryngeal Tumours and Cancers:
Our team plays a critical role in the management of laryngeal tumours and cancers. We address a spectrum of conditions, ranging from benign growths to malignant neoplasms. Laryngeal Cancer Treatment strategies include LASER cordectomy, laryngeal framework procedures and partial and total laryngectomy with speech rehabilitation in the form of TEP, electrolarynx and oesophageal speech precise excisions. Preservation of vocal function and quality of life is a priority, often achieved through meticulous surgical techniques and, when necessary, reconstructive procedures. Multidisciplinary collaboration ensures a comprehensive approach, integrating surgery with other modalities for optimal patient outcomes.
g. Parapharyngeal Tumours:
Head and neck surgery is essential for managing parapharyngeal tumors, including schwannomas, glomus tumors, and carotid body tumors. Meticulous dissection and preservation of surrounding structures are crucial to minimize complications and maintain optimal function. A multidisciplinary approach ensures a comprehensive strategy, incorporating imaging, biopsy, and postoperative care to achieve the best patient outcomes.
h. Sarcomas of the Head and Neck:
Head and neck surgery is integral in managing parapharyngeal tumors, including schwannomas, carotid body tumors, and glomus tumors. Head and Neck Sarcoma Treatment involves meticulous dissection and preservation of surrounding structures to minimize complications and maintain optimal function. Soft Tissue Sarcoma Management requires multidisciplinary coordination, incorporating imaging, biopsy, and postoperative care to ensure comprehensive and effective treatment strategies for optimal patient outcomes.
i. Sinonasal Malignancies:
We play a pivotal role in the diagnosis and treatment of sinonasal malignancies, including nasal cavity and paranasal sinus tumors. Sinonasal Tumor Treatment involves meticulous surgical excision, addressing complexities such as skull base involvement. Our comprehensive approach ensures thorough evaluation and tailored treatment strategies to optimize outcomes in terms of tumor control and the well-being of our patients. Nasal Cavity Cancer Management is a critical aspect of our practice, focusing on precise interventions for the best possible results.
j. Endoscopic Skull Base Surgery:
We offer advanced endoscopic tumor removal for tumors and other lesions affecting the skull base region. Minimally invasive skull base surgery is an endoscopic technique used to treat these tumors, involving the area where the brain sits atop the nasal cavities. This method allows for precise visualization and removal of tumors, lesions, or abnormalities without external incisions. Our surgeons are skilled in performing this advanced procedure, leading to shorter recovery periods and improved outcomes compared to traditional open procedures.
k. Skull Base and Craniofacial Surgeries:
Our team is proficient in performing Complex Craniofacial Tumor Surgery and reconstructive procedures for skin, eye, and scalp malignancies. We utilize Innovative Skull Base Surgery Techniques to achieve optimal cosmetic and functional outcomes for our patients. This specialized field highlights the importance of multidisciplinary skills in managing diverse pathologies affecting the skull base and craniofacial region.
l. Temporal Bone Resections:
We possess advanced skills essential for intricate procedures involving the removal of portions of the temporal bone for tumors, infections, and other conditions affecting the ear and surrounding structures. The complexity of the temporal bone anatomy requires expertise and precision for Temporal Bone Surgery and Temporal Bone Resection. Our surgeons are trained to safely remove tumors while preserving hearing and facial nerve function whenever possible.
m. Surgery and Reconstruction for Skin, Eye, and Scalp Malignancies:
Surgery and reconstruction for skin, eye, and scalp malignancies, such as basal cell carcinoma, melanoma, and squamous cell carcinoma, involve a multifaceted approach led by head and neck surgeons. These specialists meticulously excise malignant lesions, using techniques that prioritize both oncological control and aesthetic outcomes. Oncological reconstruction procedures follow, aiming to restore form and function while minimizing cosmetic impact. Coordination with ophthalmologists, plastic surgeons, and other specialists is common to ensure a comprehensive strategy. This multidisciplinary cancer surgery approach maximizes patient well-being, emphasizing both cancer management and optimal postoperative outcomes for the skin, eye, and scalp regions.
Head and Neck Surgery in Non-oncological Cases
Head and neck surgery extends beyond oncological cases, encompassing a diverse range of non-cancerous head and neck conditions. Surgeons address congenital anomalies, trauma, infections, and functional disorders affecting the head and neck region. Procedures may involve reconstructive head and neck surgery, correction of facial deformities, and interventions for issues like airway obstruction, swallowing difficulties, or sleep apnea. The scope of head and neck surgery in non-oncological cases aims to enhance patients’ overall health, function, and quality of life through precise and tailored interventions.
a. Benign cysts and tumours of the maxillofacial region.
These encompass a variety of non-cancerous growth in the form of tumours or cysts that can develop within the tissues of the maxillofacial region. They may arise from epithelial remnants associated with tooth development or inflammatory processes related to dental tissues associated with impacted or, unerupted or infected teeth. e.g. Dentigerous cysts, radicular cysts, odontogenic keratocyst ameloblastoma, odontoma, and cementoblastoma. They may also arise from non-dental mesenchymal or epithelial tissues, e.g. nasopalatine duct cysts, dermoid cysts, fibroma, lipoma, osteoma, etc. and can lead to swelling, pain, and damage to surrounding structures if they become large or infected. Treatment typically involves surgical removal in the form of enucleation, marsupialization or resection, depending on size, location and type of growth.
These encompass various non-cancerous growths in the form of tumors or cysts that develop within the tissues of the maxillofacial region. They may arise from epithelial remnants related to tooth development or inflammatory processes associated with impacted, unerupted, or infected teeth, such as dentigerous cysts, radicular cysts, odontogenic keratocysts, ameloblastoma, odontoma, and cementoblastoma. Additionally, they can originate from non-dental mesenchymal or epithelial tissues, such as nasopalatine duct cysts, dermoid cysts, fibroma, lipoma, and osteoma. These growths can cause swelling, pain, and damage to surrounding structures if they become large or infected.
Maxillofacial Cyst and Tumor Treatment typically involves surgical removal through enucleation, marsupialization, or resection, depending on the size, location, and type of growth. Effective Benign Oral Lesions Management is essential to prevent complications and ensure patient well-being.
b. Facial Reanimation
Facial reanimation is a specialized area within head and neck surgery dedicated to restoring facial movement in patients with facial paralysis due to various conditions such as Bell’s palsy, facial nerve injury, or congenital facial paralysis (like Moebius syndrome). We employ various techniques for Facial Paralysis Treatment, such as nerve grafts, muscle transfers, and functional restoration procedures. The goal is to improve facial symmetry and function, enhancing both aesthetic appearance and the patient’s ability to express emotions. This nuanced field requires a thorough understanding of facial anatomy, nerve function, and reconstructive principles to achieve optimal outcomes in Facial Nerve Reconstruction.
c. Head and neck Reconstructive Surgery:
Head and neck reconstructive surgery involves restoring form and function to areas affected by trauma, cancer, congenital anomalies, or other conditions. Our department specializes in intricate procedures aimed at facial reconstruction and restoration. We utilize a variety of techniques, including local and regional flaps, microvascular free flaps, and zygomatic implant perforated flaps with dental rehabilitation, to rebuild structures like the jaw, tongue, or throat. The goal is not only to address physical appearance but also to optimize speech, swallowing, and other vital functions. Innovative approaches such as virtual planning and facial reanimation surgery enhance precision and effectiveness, ensuring both aesthetic and functional success.
d. Congenital Complex facial defects
Our department addresses complex Congenital Facial Deformities Treatment for conditions such as cleft lip, cleft palate, craniosynostosis, deformational plagiocephaly, hemifacial microsomia, and microtia. Ideally, surgical intervention for these congenital defects should occur before the patient turns one. The primary goal is to repair the defect and restore the appearance of the affected facial area. If surgical restoration with skin grafts and tissue transfer is insufficient, a prosthesis may also be used.
e. Dysphagia
Head and neck surgery plays a crucial role in dysphagia treatment. We employ various interventions to address structural issues affecting the throat, esophagus, and surrounding structures, including dilation of strictures, removal of obstructive masses, and reconstructive surgeries. These approaches are designed to improve the coordination of swallowing muscles, enhancing the efficiency and safety of the swallowing process. Our goal is to improve the patient’s ability to eat and drink without difficulty or discomfort, effectively managing swallowing disorders.
f. Airway obstruction
Airway obstruction can critically affect breathing and health. At our Head and Neck Surgery Hospital, we utilize advanced airway reconstruction techniques to address this issue effectively. These methods are essential for managing airway stenosis caused by tumors, scarring, or congenital conditions. We employ precise diagnostic tools and state-of-the-art surgical approaches to restore proper airflow. Our treatments may include widening narrowed passages or removing obstructive masses to enhance breathing function and improve quality of life.
g. Sleep Apnoea
Surgery for sleep apnea is considered in selected cases where conservative treatments are insufficient, and the procedure choice depends on the anatomical factors causing airway obstruction. Our Sleep Apnea Surgical Interventions include Uvulopalatopharyngoplasty (UPPP) to clear excess throat tissue, Genioglossus Advancement (GA) to reposition the tongue muscle attachment, Maxillomandibular Advancement (MMA) to adjust the upper and lower jaw, and Hyoid Suspension to secure the hyoid bone. We work closely with sleep specialists and respiratory therapists to ensure comprehensive management of sleep apnea through effective Airway Obstruction Surgery.
Why Choose SPARSH Hospital
We are one of the Best Head and Neck Surgery Hospitals in Bangalore, dedicated to providing compassionate, personalized care. Our Department of Head and Neck Surgery offers expert treatment for both complex conditions and routine care. Trust our team to deliver top-quality services with integrity and expertise. Contact us today to learn how we can help you achieve optimal health and well-being.