Head and neck cancer are the most common malignancies worldwide. With 77,000 cases diagnosed per year, Head and neck cancers are the most common cancer in Indian population. Smoking, Tobacco and alcohol are the major causative factors for head and neck cancer worldwide but smokeless tobacco, betel nut and pan are etiological agents for Indian population.
Surgery is the main modality of treatment for head and neck cancer. Dr. Amit is skillfully trained in Head and Neck Cancer Surgery and has performed more than 1000 procedures.
He gives prime importance to tumor resection followed by reconstruction.
Mandible reconstructed with free fistula taken from lower limb. Fistula is a small bone below knee which support the tibula and has got its own blood supply. It is harvested alongwith its blood supply and mandible is reconstructed. Tooth can be implanted over it after 6 or 12 months depending on radiotherapy.
Tongue is second most common after Buccal Mucosa. Only removing half of tongue without plastic reconstruction will lead to speech impairment. Dr. Amit focuses on Tongue reconstruction using free radical forearm flap from non dominant hand. It helps in better speech, swallowing after the surgery.
3. Larynx Cancer
Larynx Cancer is seen in Mucosa Smokers, alcoholics. Dr. Amit is one of the leading and surgeon of India performing near Total Laryngectomy in which half of Larynx is removed and other half is preserved so that patient can phonate with his vocal cord. At times when complete Larynx is removed them Tracheo-oerophageal Prosthesis (TBP) can be used for voice rehabilitation.
Maxilla is the 4th most common cancer. Subtotal, Total Maxillectomy with Free Radical Forearm Flap, Free Fistula Flap is his expertise.
5. Thyroid Cancer
Thyroid Cancer are most commonly seen in young females with good prognosis. Hemi thyroidectomy or Total Thyroidectomy preserving Parathyroid glands is his expertise.
6. Part Cricoid
Though Refinative Chemo-radiation is the treatment of choice but residual disease remains for which salvage surgery in the form of Total Pharyngo Laryngoverophagectomy. With Tracheo- oerophageal prosthesis (TCP) is required.