CANCERS OF THE HEAD & NECK

If you are reading this because or a loved one is suffering from the above, please understand Dr Bhattacharyya has personally been where you are, and so it is no exaggeration to say we know what you are going through. Treatment of these cancers are in a continuous flux, and researching about it can be extremely puzzling. That’s where we come in. Let us help you navigate the disease, help with providing the correct treatment and answer the difficult questions. As always, you can trust us to do what is the best for YOU and be by your side in this battle.

  • Oral Cancer Resections
  • Mandibulectomies
  • Local Flap repairs
 
  • Transoral LASER surgery
  • Chemo-Radiation
  • Laryngoscopy
 
  • Nasopharyngeal biopsy
  • Chemo-Radiation
  • Nasopharyngectomy
 
  • Transoral LASER surgery
  • Chemo-Radiation
  • Partial Laryngectomies
 
 
  • Thyroidectomy
  • Submandibular gland resections
  • Parotidectomy
 
  • Malignant Melanoma
  • Cutaneous Squamous Cell CA
  • Basal Cell Carcinoma
 

ORAL CAVITY CANCERS

Additional Information

Tobacco, Betel nut chewing & Areca are all extremely common in India & thus, it should come as no surprise that India is referred to as the “Oral Cancer capital of the world”
Oral Cancers are difficult diseases to treat, for 3 reasons:
1. They are fairly aggressive variants of cancer
2. the location is packed with nerves, blood vessels and thus allows easy invasion & spread
3. Any surgery carries with it some loss of function, which needs rehabilitation & getting used to.
Surgery remains the gold standard of treatment with Radiation & chemotherapy added on as per AAO guidelines. The treatment is followed by long term surveillance to ensure the disease has not returned. Establishing a long term rapport and trust is critical for best outcomes.
We will work with you throughout the process, and make sure all your questions are answered at any time. Remember, a team approach is key to achieving the best outcomes.
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently
 

OROPHARYNGEAL CANCERS

Additional Information

Oropharyngeal cancers have traditionally been treated with Radiation and Chemotherapy, because previous surgical options were just too disfiguring for most people, and led to significant post treatment functional problems.
However, with newer generation technology like Robots, Trans oral fiber LASERS and Trans oral Ultrasonic devices, these surgeries can often be performed without external scars, which means now we can use Radiation & Chemo as a booster or hold it in reserve!
Decision making in these cases is a fine balance between functional outcomes & disease clearance, which must never be compromised.
Come down & talk to us so we can discuss which option is right for you.
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently
 

HYPO & NASOPHARYNGEAL CA

Additional Information

Hypo and nasopharyngeal Cancers originate behind your voice box or nasal cavity respectively. Unfortunately, the results are not great, and often they have spread outside the confines of the area of origin at diagnosis. Most commonly treatment will be Radiation & Chemotherapy combined, with surgery being offered in very selective cases.
Post treatment surveillance becomes critical here as early recurrences need to be diagnosed ASAP.
You can always be assured of a compassionate, frank discussion laying out all the treatment options available so you can make an informed choice.
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently

LARYNX CANCERS

Additional Information

Unlike the ear & nose, tumors in the larynx are all too common, and are malignant more often than not. But unlike 15 years back, this does not necessarily translate to disfiguring surgery or a permanent hole in the neck. This is due to paradigm shifting research done by ECOG and RTOG groups including many others. Now, over 90% of patients can be treated with a combination of Radiation, chemotherapeutic drugs and larynx saving LASER surgeries through the mouth, thus avoiding scars and long term complications. Laryngectomies are now reserved as a last resort in patients who have failed our efforts. However, it cannot be stressed enough how critical it is to identify these tumors early and address them. BEWARE: the only symptom in most cases is hoarseness, and as you can guess, its not rare to have people ignore it, only to end up with advanced lesions when they first come to us. As always it is critical for your physician to be updated with current concepts so we encourage you to read up & ask us ANY and ALL questions you may have. It would be a privilege to be a part of your team as you win this battle, like you have with so many others!
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently
 

THYROID & OTHER GLANDS

Additional Information

Thyroid cancers are often considered to be amenable to some of the best outcomes among all cancers. However, they can still be extremely dangerous in some cases if not diagnosed & treated on-time.
Salivary gland cancers are similar as in they can often be low grade with excellent outcomes when treated quickly & correctly.
However high grade tumors are possible in both and may need adjuvant therapy on a case by case basis.
Diagnosis and treatment requires an USG, and a needle sampling in most cases. Sometimes a CT scan/MRI may be needed to see deeper anatomy which is not well seen with an USG.
With extensive facial plastic surgery training, you can be assured if you need surgery, the scars will be placed in neck creases and be dealt with great finesse so there are no obvious tell-tale signs.
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently on
 

SKIN CANCERS

Additional Information

Skin cancers are less common in India than the west, but this also means that patient’s who do have it, are often at a loss. Dermatologic surgeries including Mohs procedures are great for precise removal of the cancer, but closing the hole left behind is a totally different issue. It’s often pulled together and closed under tension, which is probably the worst thing to do on the face. Any scar under tension will widen over time leading to a raised, and unsightly scar which mars the patient’s satisfaction. We follow tissue principles and work with dermatologists to ensure patients get the best outcomes; disease excision is often done by the skin doctor and in cases not amenable to direct closure, they are referred to us so we can create beautiful, and natural looking scar lines.
Patients often come to us directly for the entire process, in which case we employ on-table microscopic frozen exams to ensure the disease has been completely cleared before doing our closures, OR they come to us from the dermatologist’s office following excision. If you would like to opt for our services, please let us know so we can talk to your dermatologist and set things up.
TIPS & HINTS
  • DO REMEMBER, asking for a second, third or fourth opinion is your right as a patient.
  • If you have had a prior CT scan/MRI of the head, bring the CD if it is available.
  • Bring a list of any other medications you may be on currently
 

DR. BHATTACHARYYA'S SPECIAL SAUCE

All good surgeons can give adequate outcomes 85% of the times, however the unending passion and joy of surgery is striving for the last 15%. That means doing all surgeries under magnification to give you the finest scars possible, using surgical adjuncts to promote healing, reducing your downtime.
 
Dr. Bhattacharyya has trained at many of the premier institutes in India and abroad, including the famed Vanderbilt University, Nashville, TN. Extensive use of endoscopes, tissue glues, stem cell rich substrates to promote healing, usage of nerve monitoring whenever required are all steps we take to ensure we give you the absolute best chance at great outcomes. Do discuss with us in detail about your surgery, and if you would like a complimentary surgical video, where possible.
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