Head and Neck Surgery
Head and neck surgery can treat a variety of problems of the head and neck. Conditions include thyroid problems, sinus disorders and head and neck cancers. Many patients with cancers in the head or neck receive surgery to remove tumors and cancerous tissue.
Reconstructive surgery is an important treatment to regain a natural appearance after some cancer surgeries.
What is head and neck surgery?
Head and necks surgeons are often called ear, nose and throat doctors or otolaryngologists. Otolaryngology is a surgical specialty. It covers the diagnosis and treatment of many common disorders affecting the head and neck.
Head and neck surgery may be treatment for different types of head and neck cancers. Head and neck cancers can affect the nasal cavity, sinuses, salivary glands, throat, lips, tonsils and thyroid and voice box
Other conditions treated by head and neck surgery include:
- Pinched nerves
- Intense dizziness and motion sickness
- Pressure on spinal cord
- Upper spinal issues
- Head and neck injuries
- Sinus pain
- Chronic ear infections
- Snoring and sleep apnea
- Tonsil issues
- Jaw issues
- Thyroid conditions
Minimally Invasive Head and Neck Surgery
Head and neck surgeons use minimally invasive techniques whenever appropriate. In many cases, people recover more quickly when treated with minimally invasive surgery compared with traditional open surgery.
Our team is specialized in treating all forms of thyroid lumps and thyroid tumors
Thyroid gland is an endocrine gland and it consists of two lobes connected by a stalk called as isthmus. Removing thyroid is a complex procedure and it involves different types of procedures depending upon the disease process.
- Hemithyroidectomy— here entire isthmus is removed along with 1 lobe. Done in benign diseases of only 1 lobe.
- Subtotal Thyroidectomy—Removal of majority of both lobes leaving behind 4-5 grams (equivalent to the size of a normal thyroid gland) of thyroid tissue on one or both sides—this used to be the most common operation for multinodular goitre.
- Near total Thyroidectomy—both lobes are removed except for a small amount of thyroid tissue (on one or both sides) in the vicinity of the recurrent laryngeal nerve entry point and the superior parathyroid gland.
- Total Thyroidectomy—Entire gland is removed. Done in cases of papillary or follicular carcinoma of thyroid, medullary carcinoma of thyroid. This is now also the most common operation for multinodular goitre.
Transoral Laser Microsurgery (TLM)
Surgeon may use transoral laser microsurgery to remove tumors of the voice box (larynx) or oropharynx through the mouth. The surgeon uses a microscope to see the cancer and then aims a special laser beam at the tumor to remove it. This approach involves no external incisions. The surgeon is able to avoid damaging speech and swallowing functions. TLM is often performed on an outpatient basis with a safe, fast-acting anesthetic that wears off quickly after the procedure.
Transoral Robotic Surgery (TORS)
Tran oral robotic surgery (TORS) is a minimally invasive surgery to remove Oropharyngeal cancer, including tonsil cancer. It combines three-dimensional imaging with tiny robotic surgical instruments. Together these tools allow surgeons access tumors through the mouth. The approach does not require any external incisions.
Speech and swallowing ability are more likely to be preserved with this minimally invasive approach. Recovery times are much faster than after open surgery. Many people need to stay in the hospital for only a day or two.