Head & Neck

“Articles / Chapters” provides a single canonical page on all topics relevant to the practice of otolaryngology. These articles are mainly intended use by medical professionals.

Important Triangles in Thyroid Surgery

Thyroidectomy is a surgical procedure involving removal of the thyroid glands. The procedure can be a hemi-thyroidectomy (partial removal) or can be a total thyroidectomy. The most important thing about […]
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TNM Staging of Salivary Gland Cancers

Once a person is diagnosed with cancer, the next step before deciding on treatment options is a determination of the stage of the cancer. Staging of salivary gland cancers is […]
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Classifications of Neck Dissection

Neck dissection (ND) is a complex surgical operation involving the removal of potential or proven metastases to cervical lymph nodes. The aim of the procedure is to remove lymph nodes […]
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Role of Surgery in the Treatment of Oropharyngeal Cancers

Prior to 1990, the mainstay of treatment for oropharyngeal cancers were surgeries. These large, invasive, open approaches like mandibulotomy, tongue pull through (described below), etc were associated with severe compromise […]
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Lymph Node Levels of Head and Neck

There are around 800 lymph nodes in the human body and of these approximately 300 are in the head and neck region. Pathological conditions including tumors, infection and inflammation, etc. […]
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First bite syndrome – Clinical presentation, Diagnosis and Treatment

First bite syndrome is a clinical condition occurring as a complication of surgeries involving the infratemporal fossa, deep lobe of the parotid gland, parapharyngeal spaces and manipulation or ligature of […]
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Thyroid Imaging Reporting and Data System (TI-RADS)

Thyroid nodules are extremely common with a reported prevalence ranging between 8.2% and 64.6% in autopsies and 19% to 68% in adults on high-resolution ultrasound. Most of the time, thyroid […]
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Neoadjuvant Chemotherapy in Head and Neck Cancers

Neoadjuvant chemotherapy (NACT); also called Induction chemotherapy is a treatment option in cancer therapy, in which chemotherapy is given prior to the definitive treatment like surgery or radiotherapy. Neoadjuvant chemotherapy […]
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Compartment Surgery in Oral Cancers

Main modality of treatment for oral cavity squamous cell carcinoma is surgery. Patients with advanced risk factors like margin positivity, perineural invasion, advanced disease, etc need postoperative radiotherapy. Significant advances […]
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Tracheoesophageal Prosthesis (TEP Speech)

Total laryngectomy is a surgical procedure, most commonly done in cancers of the larynx (voice box). In this procedure, the entire voice box is taken off and a permanent hole […]
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Temporal bone cancer staging systems

Staging of cancers is essential for patient counseling, treatment planning, predict treatment outcome and survival. Most commonly followed staging system for head and neck malignancies is the Tumor, Node, Metastasis […]
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Laryngopharyngeal Reflux Scoring Systems

Laryngopharyngeal reflux (LPR) can be defined as chronic irritation of larynx caused by the abnormal backflow of gastric contents into the upper airway, mostly due to upper esophageal sphincter dysfunction. […]
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Laryngeal Exposure (Opening) Scores

Direct laryngoscopy is a routine procedure conducted to visualize the larynx (voice box), to access, evaluate and treat voice problems. Usually, the laryngoscope is placed through the mouth and the […]
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TNM Staging of Nasopharyngeal Carcinoma (AJCC 8)

Malignancies arising in nasopharynx / nasopharyngeal carcinoma (NPC) have different natural behavior and therapeutic consideration than other head and neck cancers. Nasopharyngeal carcinoma also has a very skewed geographic and […]
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Anatomy and Physiology of Nasopharynx

The nasopharynx is an air-containing cavity at the back of the nose, which occupies the uppermost extent of the aerodigestive tract. It’s like a small cuboidal box about two to […]
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