Head and Neck Surgery

Types of surgery – Head and Neck Cancer

• eHNS
• Transoral Laser Microsurgery (TLM)
• Transoral Laser Microsurgery (TLM)
• Endoscopic Thyroid and Neck Surgery
• Robotic Thyroidectomy
• Minimally Invasive Video-Assisted Thyroidectomy (MIVAT)
• Endoscopic Skull Base Tumor Surgery

eHNS - stands for Endoscopic head and neck surgery, it is a dynamic approach which allows the surgeons to remove the tumors with the use of a specialized endoscopes and cameras without any external incisions and with little or no change in speech, appearance and swallowing function.

Endoscope is a long and thin tube with special lighting and has a narrow lens using which the surgeon can view the organs and tissues present inside the body. The endoscope is inserted through mouth in throat cancer case and with the help of the microscope the tumor is imaged and utilizing extremely exact, state-of-the-art surgical instruments that are embedded through the mouth, the specialist can perform the operation without an external incision.

eHNS has a few focal points which are advantageous they are:

• Reduced risk of blood loss
• Lower pain levels
• Minimizes the stay at a hospital
• Recovery time is minimized and can return back to normal diet
• Less scarring, with enhanced cosmetic appearance

In few cases, eHNS may lessen or even wipe out the requirement for chemotherapy and radiation therapy. The objective with eHNS is dependably the same: to eliminate tumor while limiting the risks and quick recovery related with conventional malignancy care.

Chemotherapy or radiation therapy may still be vital after eHNS. When chemotherapy and radiation therapy can’t be avoided through surgery, eHNS still hold focal points for patients. Quicker recuperation after eHNS implies patients can usually start chemotherapy and radiation therapy earlier. The smaller

Incisions with eHNS heal more quickly than larger and minimal changes of infection.

Two types of eHNS, transoral robotic surgery (TORS) and transoral laser CO2microsurgery (TLM), have changed the treatment for throat cancer.

Transoral Robotic Surgery (TORS)

Robotic head and neck surgery is a different procedure that offers the advantages of computer technology, specialized surgical instruments and advanced three-dimensional imaging.

The da Vinci ® system is a highly specialized surgical system. The video camera is held with four robotic arms and three tiny surgical instruments. The robotic arms are controlled by the surgeon from a computerized operating console, inserting them into the patient’s body through slender tubes and then performing the operation. The entire operation is viewed by the surgeon on a large screen.

This system eliminated even very small hand tremors during the surgery

It is the only surgical robot approved by the Food and Drug Administration and is most often used for prostate surgery.

Head & Neck 2018 Conference has been rescheduled to December 10-11, 2018

So polish your research works and ping it to headneck2018@gmail.com on or before

10th September 2018 

Grab your early bird discounts at the earliest!!

Balloon Sinuplasty

Balloon sinuplasty may be a procedure that ear, nose and throat surgeons might use for the treatment of blocked sinuses. Patients diagnosed with rubor however not responding to medications could also be candidates for sinus surgery. Balloon technology is an endoscopic, catheter-based system for chronic rubor. It uses a balloon over a wire tubing to dilate sinus passageways. The balloon is inflated with the goal of dilating the sinus openings, widening the walls of the sinus passageway and restoring traditional emptying. 

Overview:

Sinus surgery with balloons could also be performed in a very hospital, patient surgery setting or within the physician’s workplace underneath anesthesia. The medical practitioner inserts a guide tubing through the naris and close to the sinus gap underneath examination visual image. a versatile guide wire is then introduced into the targeted sinus to substantiate access. Most guide wires have light on the tip which can turn out light transmission seen through the skin to assist the MD with correct placement of the guide wire. Once access to a blocked sinus is confirmed, a balloon tubing is advanced over the guide wire and positioned within the blocked sinus gap for inflation. The balloon is inflated. If the procedure is successful , the sinus can stay open when the balloon is deflated and removed because the bone close the sinus is for good transformed.

Benefits:

The balloon technique is an alternate, less invasive treatment than the standard purposeful examination sinus surgery (FESS). The sinuses are expanded with a balloon rather than using metal instruments to chop and take away tissue to extend the openings. attributable to less risk and fewer complications, balloon sinuplasty are often performed within the workplace underneath anesthesia. This exposes associate avenue of treatment for patients with sinus malady who otherwise wouldn't be candidates for surgery secondary to age, health conditions, previous reactions to general anesthesia, or worry of going under. For the correct patient, this procedure will have constant degree of impact on reduction of symptoms because the formal surgery.

Limitations:

Even though the technique has wide selection of applications, balloon sinuplasty might not be acceptable for all chronic and repeated rubor patients. Clinical studies have generally excluded patients with:

• Eosinophilic disease
• Severe polyposis or fungal rubor
• Cystis fibrosis
• Samter's triad
• Facial trauma

Thyroidectomy

A ablation is associate operation that involves the surgical removal of all or a part of the thyroid. General, Endocrine or Head and Neck Surgeons usually perform a ablation once a patient has thyroid cancer or another condition of the thyroid gland (such as hyperthyroidism) or goitre. Alternative indications for surgery embrace cosmetic (very enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). Ablation could be a common operation that has many potential complications or sequelae including: temporary or permanent amendment in voice, temporary or for good low metallic element, would like for womb-to-tomb internal secretion replacement, bleeding, infection, and therefore the remote chance of airway obstruction because of bilateral plica disfunction. Complications square measure uncommon once the procedure is performed by associate practiced doctor.

The thyroid produces many hormones, equivalent to thyroid hormone (T4), thyroid hormone (T3), and thyrocalcitonin.

After the removal of a thyroid, patients typically take a prescribed oral artificial thyroid hormone-levothyroxine (Synthroid) to forestall glandular disease.

Less extreme variants of ablation include:

•  Hemithyroidectomy (or unilateral lobectomy) removing solely half the thyroid
•  Isthmectomy": Removing the band of tissue (or isthmus) connecting the 2 lobes of the         thyroid

Indications:

•  Thyroid cancer
•  Toxic thyroid nodule (produces an excessive amount of thyroid hormone)
•  Multinodular goitre (enlarged thyroid with several nodules), particularly if there's  compression of close structures
•  Graves' malady, particularly if there's symptom (bulging eyes)

Types:

•  Subtotal thyroidectomy—Removal of majority of each lobes dropping 4-5 grams (equivalent to the dimensions of a standard thyroid gland) of thyroid tissue on one or each sides this wont to be the foremost common operation for multi nodular struma.
•  Partial thyroidectomy: Removal of organ before of trachea when mobilization. Worn out nontoxic MNG. Its role is debatable.
•  Near total thyroidectomy:  Both lobes square measure removed apart from a tiny low quantity of thyroid tissue (on one or each sides) within the neck of the woods of the perennial vocal organ nerve entry purpose and therefore the superior endocrine.
•  Total thyroidectomy: Entire organ is removed, worn out cases of appendage or vesicle malignant neoplastic disease of thyroid, medullary malignant neoplastic disease of thyroid this can be currently additionally the foremost common operation for multinodular struma.

Oral cancer:

Oral cancer, additionally called mouth cancer, may be a kind of head and neck cancer and is any cancerous tissue growth set within the oral fissure. it's going to arise as a primary lesion originating in any of the tissues within the mouth, by metastasis from a far off website of origin, or by extension from a neighbouring anatomic structure, like the bodily cavity. or else, the oral cancers might originate in any of the tissues of the mouth, and should be of assorted histological types: tumour, carcinoma derived from a significant or minor duct gland, cancer from tonsillar or different lymphatic tissue, or malignant melanoma from the pigment-producing cells of the oral membrane. There area unit many varieties of oral cancers, however around ninetieth area unit epithelial cell carcinomas, originating within the tissues that line the mouth and lips. Oral or mouth cancer most typically involves the tongue. it's going to additionally occur on the ground of the mouth, cheek lining, animal tissue (gums), lips, or surface (roof of the mouth). Most oral cancers look terribly similar beneath the magnifier and area unit referred to as epithelial cell malignant neoplastic disease, however less unremarkably different varieties of carcinoma occur, like sarcoma.

Signs and Symptoms:

In its early stages, it'll go unremarked. it's painless with slight physical changes. but the precursor tissue changes, is detected by the doctors.Early stage symptoms can embrace persistent red or white patches, a non-healing ulceration, progressive swelling or enlargement, uncommon surface changes, abrupt tooth quality whereas not apparent cause, uncommon oral injury or epitaxis and prolonged huskiness. Late stage symptoms can embrace academic degree indurated area, symptom or dysesthesia of the tongue or lips, airway obstruction, chronic bodily fluid rubor, otalgia, trismus, dysphagia, cervical pathology, persistent pain or symptom and altered vision.

Causes:

Around seventy five % of oral cancers area unit joined to modifiable behaviours like tobacco use and excessive alcohol consumption. different factors embrace poor oral hygiene, irritation caused by ill-fitting dentures and different rough surfaces on the teeth, poor nutrition, and a few chronic infections caused by fungi, bacterium or viruses. If carcinoma is diagnosed in its earliest stages, treatment is usually terribly effective.Chewing betel pepper, paan and feather palm is thought to be a powerful risk issue for developing carcinoma. In Asian country wherever such practices area unit common, carcinoma represents up to four-hundredth of all cancers, compared to only 4 wheel drive within the Britain.

Iris Jones
Program Manager | Headneck Treatment 2018
Conference Series llc Ltd
47 Churchfield Road
London, W3 6AY
United Kingdom
Tel: 1-702-508-5200 Ext: 8123

Email: headneck@oncologymeeting.org

            

Head and Neck Cancer:

The rates of patients detected with HPV-related head and neck cancer is rising annually. By the passing of years, there will be more cases of HPV-related head and neck cancer than HPV-related cervical cancer. Number of studies have shown that most patients with this diagnosis are likely to be cured of their disease, placing an increased emphasis on quality of life and non-cancer outcomes in this population of survivors. The majority of patients diagnosed with HPV-related head and neck cancer are working people and it is a serious issue both financially and psychologically.

 How can treatment for Head and Neck Cancer impact employment?

Treatment for head and neck cancer involves a combination of chemotherapy and radiotherapy given over a six to seven week period, often known as chemo-radiotherapy. This process is considered as toxic and can impact a patient’s ability to function normally including speaking, chewing, breathing and swallowing. Many patients require number of supportive medications to get through treatment including narcotics for pain and anti-nausea medications. Patients losses on average of 10-15% of their weight within a few months and can suffer from severe fatigue and post-treatment depression.

For more information, contact:

Iris Jones 

Program Manager

Write your queries to headneck@oncologymeeting.org

For more information and registration, please visit:

https://headneck-treatment.conferenceseries.com/

Bio Markers for Oral Cancer:

Biomarkers are sub-atomic marks that are one of a kind to a specific sickness (e.g., oral growth).Biomarkers are characterized as "a trademark that is an unbiased estimated and assessed pointer of typical biologic procedures, pathogenic procedures, or pharmacologic reactions to helpful mediation". Biomarkers could be investigated in various analytes like blood and salivation.

Oral disease positions 6th among the growths happening worldwide with 90% of them being analysed as OSCC. Notwithstanding, the guess of OSCC is great with a survival rate of 90% if there should be an occurrence of early recognition. The highest quality level for determination of OSCC is biopsy trailed by histopathological examination, the significant downside in this system is delay in location. The biomarkers which are the quantifiable markers of physiological and neurotic process are helpful in the analysis and impact the forecast of illness. Salivary biomarkers have turned out to be practical dismisses in determination and follow-up of oral and oropharyngeal carcinoma

                                

Oral tumour alludes to the malignancies that happen in the oral hole, lip and pharynx with 90% of oral diseases being squamous cell carcinomas (OSCC). OSCC has the most elevated mortality proportion contrasted with different carcinomas. Most oral growths are identified at a later stage prompting lower survival rates. Early recognition of OSCC is a key factor in enhancing the forecast and survival rate of the patient. Quick headway in the field of finding has empowered early determination of numerous conceivably harmful conditions even before its clinical signs. One such symptomatic methodology that has increased much pertinence in the field of sub-atomic science has been the disclosure of salivary biomarkers (DNA, RNA and protein markers). These salivary biomarkers have been appeared to assume a non-obtrusive part in the determination and observation of oral tumour. The immediate contact between the salivation and the oral tumour injuries makes it a most touchy and particular, screening strategy in conclusion, organizing and development.

For more information, contact:

Iris Jones 

Program Manager

Write your queries to  headneck@oncologymeeting.org

For more information and registration, please visit:

https://headneck-treatment.conferenceseries.com/