What does the head and neck oncology surgeon do?
A detailed examination of the head and neck region including the mouth from inside is done. The neck is examined for any swelling.
A flexible endoscopy is done to examine the nose, behind the nose, voice box and the food passage. This head and neck cancer is done under local anesthesia in sitting position and takes 5-10 minutes to perform. The patient can go home after 15 minutes. At RTTICS, the endoscopes are attached to a special filter called Narrow Band imaging, which enables the surgeon to diagnose cancer without biopsy. This is a great advancement in techniques when comparing the previous ones where the surgeon and patient had to wait for 5 days to get biopsy results.
To diagnose swelling in the neck, a needle is introduced to make a diagnosis which is available within 48-72 hours.
- Swelling in the neck not responding to antibiotics
- Sore throat >6weeks duration
- Hoarseness of more than 3 weeks duration (and or in association with thyroidswelling)
- Lump sensation in throat of 2-3 weeks duration
- Difficulty in swallowing of more than one week
- Ulcers in the mouth of more than 3 weeks duration
- White patches (leukoplakia) in the mouth
- Pain in the ear with difficulty in swallowing
- Paralysis of nerves of the face
- Swelling of the eye
Suspicion should be particularly for patients who are smokers and over the age of 40 years
Dr. Dev Shuvendu Roy